PRIVATE - SELF - EMPLOYEED
NPI 1407154156
General Acute Care Hospital in Chicago, IL

Active since March 04, 2011
836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 975-1600 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Private - Self - Employeed NPPES

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

PRIVATE - SELF - EMPLOYEED (NPI 1407154156) is a healthcare organization registered as a general acute care hospital in Chicago, Illinois and active in the NPI registry since March 2011. The organization lists Jaclyn Sprague, Manager Nutrition Services, as its authorized official.

NPPES Registry Identity

NPI1407154156
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameADVOCATE ILLINOIS MASONIC HOSPITAL
Location Address836 W WELLINGTON AVEChicago, IL 60657-5147
Mailing Address836 W Wellington AveChicago, IL 60657-5147 · (773) 975-1600
Organization SubpartNo
Authorized OfficialJaclyn SpragueManager Nutrition Services · (773) 296-5194
Enumeration DateMarch 4, 2011
NPI 1407154156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in IL · 164005250
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
836 W WELLINGTON AVE, Chicago, IL 60657

Other Names 1

Doing Business AsPrivate - Self - Employeed

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.

Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Speech-Language Pathologist
836 W WELLINGTON AVE
CHICAGO, IL 60657
Internal Medicine (Sleep Medicine)
836 W WELLINGTON AVE
CHICAGO, IL 60657
Nurse Anesthetist, Certified Registered
836 W WELLINGTON AVE
CHICAGO, IL 60657
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Anesthesiology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Dietitian, Registered
836 W WELLINGTON AVE, FOOD AND NUTRITION DEPT.
CHICAGO, IL 60657
Nurse Practitioner
836 W WELLINGTON AVE
CHICAGO, IL 60657

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 Hospital's NPI number?

The NPI number for Advocate Illinois Masonic Hospital is 1407154156. It was assigned to this organization in the NPPES registry on March 4, 2011. The provider is doing business as Private - Self - Employeed.

Where is Advocate Illinois Masonic Hospital located?

Advocate Illinois Masonic Hospital is located at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 975-1600.

What is Advocate Illinois Masonic Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Advocate Illinois Masonic Hospital was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.