ADVOCATE MEDICAL GROUP NPI 1487951711
Internal Medicine - Cardiovascular Disease in Chicago, IL

Organization Internal Medicine Cardiovascular Disease CLIA Number 14D0887098 CLIA Certificate of Waiver

About ADVOCATE MEDICAL GROUP

Advocate Medical Group is an internist established in Chicago, Illinois specializing in Internal Medicine with a focus in cardiovascular disease . The NPI number of Advocate Medical Group is 1487951711 and was assigned on February 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Advocate Medical Group operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Advocate Medical Group. The authorized official of this NPI record is Mr. Ian D Stewart (Vp Business Systems, Finance, Ops)

NPI
1487951711
Provider NameADVOCATE MEDICAL GROUP
Provider Location Address3118 N ASHLAND AVE CHICAGO, IL 60657
Provider Mailing Address701 LEE ST SUITE 300 DES PLAINES, IL 60016
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameADVOCATE MEDICAL GROUP
Other Name TypeDoing Business As (3)
Enumeration Date02-23-2011
Last Update Date02-23-2011

An internist like Advocate Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc..

The CLIA number of Advocate Medical Group is 14D0887098 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Advocate Medical Group 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.



Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

ADVOCATE MEDICAL GROUP
3118 N ASHLAND AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 880-9722
Fax: (773) 880-9723

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Mailing Address

ADVOCATE MEDICAL GROUP
701 LEE ST
SUITE 300
DES PLAINES, IL
ZIP 60016
Phone: (847) 390-5900
Fax: (847) 390-5922


Authorized Official

Authorized Official NameMR. IAN D STEWART
Authorized Official TitleVP BUSINESS SYSTEMS, FINANCE, OPS
Authorized Official Phone(847) 390-5453

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 the NPI number 1487951711 is:

CLIA Number14D0887098
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyNo

Taxonomy Description: a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

2363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNo

Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487951711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167185272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 8 + 5 + 2 + 7 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1487951711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316998578WEST SUBURBAN CARDIOLOGISTS, LTD.
Organization
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1831145804 AJAY BADDI M.D.
Individual
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1972550846DR. CESAR J HERRERA M.D.
Individual
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1821036047DR. PETER J STECY M.D.
Individual
Internal Medicine (Cardiovascular Disease)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722
1992723589DR. SAURABH SHAH M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)3118 N ASHLAND AVE
CHICAGO, IL 60657
(773) 880-9722

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Advocate Medical Group is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.