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ADVOCATE LUTHERAN GENERAL HOSPITAL
NPI 1023308608
General Acute Care Hospital - Children in Park Ridge, IL

Active since April 15, 2011CLIA Certified · 4 labs
1775 W DEMPSTER ST, 8 SOUTH, PARK RIDGE, IL 60068(847) 723-8077 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advocate Lutheran General Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVOCATE LUTHERAN GENERAL HOSPITAL (NPI 1023308608) is a healthcare organization registered as a children in Park Ridge, Illinois and active in the NPI registry since April 2011. The organization holds 4 active CLIA laboratory certificates and lists Michael Mckenna, Dio Medical Education, as its authorized official.

NPPES Registry Identity

NPI1023308608
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NameADVOCATE LUTHERAN GENERAL HOSPITAL
Location Address1775 W DEMPSTER ST, 8 SOUTHPark Ridge, IL 60068-1143
Mailing Address1775 W Dempster St, 8 SouthPark Ridge, IL 60068-1143 · (847) 723-8077
Phone(847) 723-8077
Organization SubpartNo
Authorized OfficialMichael MckennaDio Medical Education · (847) 723-7325
Enumeration DateApril 15, 2011
✔ NPI 1023308608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
1775 W DEMPSTER ST, Park Ridge, IL 60068
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CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0042416

Advocate Lutheran General Hospital · Park Ridge, IL
Active · expires Feb 27, 2027
CLIA Number14D0042416
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Michael R. Pins
Laboratory Phone(847) 723-6173
Laboratory LocationAdvocate Lutheran General Hospital1775 W Dempster St, Park Ridge, IL 60068
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D2330121

Advocate Lutheran General Hospital · Park Ridge, IL
Active · expires Sep 9, 2027
CLIA Number14D2330121
Laboratory TypeMobile Health Clinic
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorDaniel J. Tonellato
Laboratory Phone(847) 723-2210
Laboratory LocationAdvocate Lutheran General Hospital1775 Dempster St, Park Ridge, IL 60068
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2126262

Advocate Lutheran General Hospital · Park Ridge, IL
Active · expires Feb 21, 2027
CLIA Number14D2126262
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorRichard M. Rosenbaum MD
Laboratory Phone(224) 585-9200
Laboratory LocationAdvocate Lutheran General Hospital1875 Dempster St, #110, Park Ridge, IL 60068
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2090517

Advocate Lutheran General Hospital · Park Ridge, IL
Active · expires Jan 25, 2027
CLIA Number14D2090517
Laboratory TypeHospital
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorBrian P. Adley MD
Laboratory Phone(847) 723-5263
Laboratory LocationAdvocate Lutheran General Hospital1775 Dempster St, Park Ridge, IL 60068
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE D PREKEZES MD
Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
LINDA CASTANEDA DO
Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
LUTHERAN GENERAL HOSPITAL
Psychiatric Hospital
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
DR. JOANNA DARIA PAKULA M.D.
Internal Medicine
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-1680
DR. ASHWIN JAYACHANDRAN M.D.
Student in an Organized Health Care Education/Training Program
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-8077
ADVOCATE LUTHERAN GENERAL HOSPITAL
General Acute Care Hospital
1775 W DEMPSTER ST, 8 SOUTH
PARK RIDGE, IL 60068
Cook County (847) 723-5871
MS. SUSAN MARY BERTUCCI-MARATEA M.A., CCC-SLP
Speech-Language Pathologist
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-7948
LYNN E KLASSMAN APN
Clinical Nurse Specialist (Acute Care)
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5939

Frequently Asked Questions

What is ADVOCATE LUTHERAN GENERAL HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1023308608, enumerated as an "organization" on April 15, 2011.

Where is the provider located?

The provider is located at 1775 W DEMPSTER ST 8 SOUTH PARK RIDGE, IL 60068 and the phone number is (847) 723-8077.

What is the provider's specialty?

General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.