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ADVOCATE LUTHERAN GENERAL HOSPITAL NPI 1689776783


NPI Information

NPI: 1689776783
Provider Name: ADVOCATE LUTHERAN GENERAL HOSPITAL
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

CLIA Number: 14D0980388

Address:
1700 LUTHER LN
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-7758
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ADVOCATE LUTHERAN GENERAL HOSPITAL is a gynecologic oncology obstetrics gynecology in Park Ridge, IL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. ADVOCATE LUTHERAN GENERAL HOSPITAL NPI is 1689776783. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1700 LUTHER LN
PARK RIDGE, IL
ZIP 60068-270
Phone: (847) 723-7758
Fax: (847) 723-8521

The provider's authorized official is James Robert Dolan .
The authorized official title is Director Gynecologic Oncology and has the following contact phone number (847) 723-7758.

The CLIA number assigned to this NPI record is 14D0980388 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0201XObstetrics & GynecologyGynecologic OncologyILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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