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ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
NPI 1063688786
Internal Medicine in Chicago, IL

Active since May 02, 2008CLIA Certified · 3 labs
3048 N WILTON AVE FL 2, CHICAGO, IL 60657(773) 296-5424(773) 296-5280 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advocate Illinois Masonic Medical Center NPPES

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

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (NPI 1063688786) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since May 2008. The organization holds 3 active CLIA laboratory certificates and lists Teresa Ramos, Residency Program Director, as its authorized official.

NPPES Registry Identity

NPI1063688786
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Location Address3048 N WILTON AVE FL 2Chicago, IL 60657-6710
Mailing Address836 W Wellington AveChicago, IL 60657-5147
Phone(773) 296-5424
Fax(773) 296-5280
Organization SubpartYesParent: Advocate Healthcare
Authorized OfficialTeresa RamosResidency Program Director · (773) 296-7046
Enumeration DateMay 2, 2008
✔ NPI 1063688786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125-052303
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3048 N WILTON AVE FL 2, Chicago, IL 60657
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 14D0673354

Advocate Illinois Masonic Medical Center · Chicago, IL
Active · expires Jun 18, 2028
CLIA Number14D0673354
Laboratory TypeHospital
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorDr. Zbigniew Malecki
Laboratory Phone(773) 296-7133
Laboratory LocationAdvocate Illinois Masonic Medical Center836 W Wellington Ave - Rm G217, Chicago, IL 60657
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 Accreditation 14D0427416

Advocate Illinois Masonic Medical Center · Chicago, IL
Active · expires Feb 27, 2027
CLIA Number14D0427416
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Zbigniew Malecki
Laboratory Phone(773) 296-7133
Laboratory LocationAdvocate Illinois Masonic Medical Center836 W Wellington Ave - Rm G217, Chicago, IL 60657
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 for Provider-Performed Microscopy Procedures (PPMP) 14D2095831

Advocate Illinois Masonic Medical Ctr - Ppm · Chicago, IL
Active · expires May 11, 2027
CLIA Number14D2095831
Laboratory TypeHospital
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorZbigniew Malecki
Laboratory Phone(773) 296-7133
Laboratory LocationAdvocate Illinois Masonic Medical Ctr - Ppm836 W Wellington Ave - Rm G217, Chicago, IL 60657
CLIA data matches this NPI record on: Address
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 3

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

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Internal Medicine
3048 N WILTON AVE FL 2
CHICAGO, IL 60657
Cook County (773) 296-5424
DR. LAURA LEE CONCANNON M.D.
Internal Medicine
3048 N WILTON AVE FL 2
CHICAGO, IL 60657
Cook County (773) 296-5424
HEARTLAND INTERNATIONAL HEALTH CENTER
Case Management
3048 N WILTON AVE FL 2
CHICAGO, IL 60657
Cook County (773) 296-7544

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 Illinois Masonic Medical Center's NPI number?

The NPI number for Advocate Illinois Masonic Medical Center is 1063688786. It was assigned to this organization in the NPPES registry on May 2, 2008.

Where is Advocate Illinois Masonic Medical Center located?

Advocate Illinois Masonic Medical Center is located at 3048 N Wilton Ave Fl 2, Chicago, IL 60657. The listed phone number is (773) 296-5424.

What is Advocate Illinois Masonic Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Advocate Illinois Masonic Medical Center hold CLIA laboratory certificates?

Yes. 3 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 Illinois Masonic Medical Center was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.