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ADVOCATE MEDICAL GROUP
NPI 1063585859
Clinic/Center in Park Ridge, IL

Active since November 17, 2006CLIA Certified · 6 labs
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-2400(847) 318-2414 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advocate Medical Group NPPES

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

ADVOCATE MEDICAL GROUP (NPI 1063585859) is a healthcare organization registered as a clinic/center in Park Ridge, Illinois and active in the NPI registry since November 2006. The organization holds 6 active CLIA laboratory certificates and lists Phillip L Werner, Chairman, as its authorized official.

NPPES Registry Identity

NPI1063585859
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameADVOCATE MEDICAL GROUP
Location Address1775 BALLARD RDPark Ridge, IL 60068-1005
Mailing Address1775 Ballard RdPark Ridge, IL 60068-1005 · (847) 318-2400 · Fax (847) 318-2414
Phone(847) 318-2400
Fax(847) 318-2414
Organization SubpartNo
Authorized OfficialPhillip L WernerChairman · (847) 318-2400
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063585859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1775 BALLARD RD, Park Ridge, IL 60068
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CLIA Laboratory Certificates CMS CLIA 6

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0926275

Advocate Medical Group - Nesset · Park Ridge, IL
Active · expires Nov 28, 2027
CLIA Number14D0926275
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorBruce Perlow MD
Laboratory Phone(773) 295-3101
Laboratory LocationAdvocate Medical Group - Nesset1775 Ballard Road, Park Ridge, IL 60068
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 14D2254279

Advocate Medical Group · Park Ridge, IL
Active · expires Mar 1, 2028
CLIA Number14D2254279
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorKevin Koo
Laboratory Phone(847) 825-0300
Laboratory LocationAdvocate Medical Group10 N Cumberland Ave, 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) 14D0915915

Advocate Medical Group-Adult Down Syndrome Ctr · Park Ridge, IL
Active · expires Nov 23, 2027
CLIA Number14D0915915
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorBrian A. Chicoine M D
Laboratory Phone(773) 295-3101
Laboratory LocationAdvocate Medical Group-Adult Down Syndrome Ctr1610 Luther Lane, 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.

Certificate of Waiver 14D0933659

Advocate Medical Group-Yacktman · Park Ridge, IL
Active · expires Sep 15, 2027
CLIA Number14D0933659
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorHanna Akanksha
Laboratory Phone(847) 318-9300
Laboratory LocationAdvocate Medical Group-Yacktman1675 W Dempster - 1st Flr, 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 14D0864450

Advocate Medical Group-Parkside Cardiology · Park Ridge, IL
Active · expires Apr 23, 2027
CLIA Number14D0864450
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorParag Patel M D
Laboratory Phone(847) 698-5500
Laboratory LocationAdvocate Medical Group-Parkside Cardiology1875 Dempster, Parkside Center #280, 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) 14D0682367

Advocate Medical Group 1875 Dempster · Park Ridge, IL
Active · expires Aug 31, 2026
CLIA Number14D0682367
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDalia Davood
Laboratory Phone(847) 825-1100
Laboratory LocationAdvocate Medical Group 1875 Dempster1875 Dempster St, Ste 325, 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.

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advocate Medical Group's NPI number?

The NPI number for Advocate Medical Group is 1063585859. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Advocate Medical Group located?

Advocate Medical Group is located at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-2400.

What is Advocate Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Advocate Medical Group hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advocate Medical Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.