Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Advocate Illinois Masonic Medical Center

Organization Internal Medicine Physician · NPI 1083880702

Advocate Illinois Masonic Medical Center provides Internal Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

3048 N Wilton Ave 2 Nd Fl
Chicago, IL 60657-6710 Not confirmed with CMS for 18 years — call before visiting
Phone: (773) 296-5424
Fax: (773) 296-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125-049755 (IL)

Record details

NPI number1083880702
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvocate Health Care
Authorized official Teresa Ramos — Residency Program Director · (773) 296-7046
NPI enumeratedMay 2, 2008
Last updated in NPPESMay 2, 2008
Mailing address3048 N Wilton Ave, 2 Nd Floor, Chicago, IL 60657-6710

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