ADVOCATE ILLNOIS MASONIC MEDICAL CENTER
NPI 1285791939
Personal Emergency Response Attendant in Chicago, IL

NPI Status: Active since January 02, 2007

Contact Information

836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 975-1600
Fax: (773) 296-7459

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  • Organization
  • Personal Emergency Response Attendant
  • CLIA Number: 14D0664174
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-14-2025

About ADVOCATE ILLNOIS MASONIC MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Advocate Illnois Masonic Medical Center, a provider established in Chicago, Illinois operating as a Personal Emergency Response Attendant. The healthcare provider is registered in the NPI registry with number 1285791939 assigned on January 2007. The practitioner's primary taxonomy code is 146D00000X with license number 036082690 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. Advocate Illnois Masonic Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Adrian Iosif Nica M.d. (Pediatric Critical Care)

NPI
1285791939
Provider Name
ADVOCATE ILLNOIS MASONIC MEDICAL CENTER
Entity Type
Organization
Location Address
836 W WELLINGTON AVE CHICAGO, IL 60657
Location Phone
(773) 975-1600
Location Fax
(773) 296-7459
Mailing Address
4200 N MARINE DR APT.303 CHICAGO, IL 60613
Mailing Phone
(773) 327-8826
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2007
Last Update Date
06-16-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Personal Emergency Response Attendant

Taxonomy Code
146D00000X
Type
Emergency Medical Service Providers
License No.
036082690
License State
IL
Taxonomy Description
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADRIAN IOSIF NICA M.D.

Authorized Official Title
PEDIATRIC CRITICAL CARE
Authorized Official Phone
(773) 975-1600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0664174
Facility Type
Physician Office
Certificate Effective Date
December 15, 2023
Certificate Expiration Date
December 14, 2025
Laboratory Director
DESLER JAVIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advocate Illnois Masonic Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285791939, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 4 + 9 + 2 + 9 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1285791939.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Obstetrics & Gynecology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Pharmacist
836 W WELLINGTON AVE
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Pediatrics (Neonatal-Perinatal Medicine)
836 W WELLINGTON AVE, ROOM 3614
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE, EMERGENCY DEPARTMENT
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, EMERGENCY MED
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE, DEPT OF EMERGENCY MEDICINE
CHICAGO, IL 60657
Internal Medicine (Infectious Disease)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Internal Medicine
836 W WELLINGTON AVE, SUITE 7405
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Surgery (Trauma Surgery)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Pediatrics (Pediatric Nephrology)
836 W WELLINGTON AVE, DEPARTMENT OF PEDIATRICS SUITE 3612
CHICAGO, IL 60657
Internal Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Pediatrics
836 W WELLINGTON AVE, ROOM 3612
CHICAGO, IL 60657
Pediatrics (Neonatal-Perinatal Medicine)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Advanced Practice Midwife
836 W WELLINGTON AVE
CHICAGO, IL 60657
Obstetrics & Gynecology
836 W WELLINGTON AVE
CHICAGO, IL 60657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285791939, enumerated as an "organization" on January 02, 2007.

The provider is located at 836 W WELLINGTON AVE CHICAGO, IL 60657 and the phone number is (773) 975-1600.

Personal Emergency Response Attendant with taxonomy code 146D00000X.