Provider Demographics
NPI:1720169097
Name:ADVOCATE OCCUPATIONAL HEALTH
Entity Type:Organization
Organization Name:ADVOCATE OCCUPATIONAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OCCUPATIONAL HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GERC
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, NHA, COHN-S
Authorized Official - Phone:847-384-3582
Mailing Address - Street 1:205 W TOUHY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4256
Mailing Address - Country:US
Mailing Address - Phone:847-384-3726
Mailing Address - Fax:847-698-4486
Practice Address - Street 1:205 W TOUHY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4256
Practice Address - Country:US
Practice Address - Phone:847-384-3726
Practice Address - Fax:847-698-4486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Single Specialty