| Organization Name: | ADVOCATE LUTHERAN GENERAL HOSPITAL |
| NPI Number: | 1023308608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MCKENNA (DIO MEDICAL EDUCATION) |
| Mailing Address: | 1775 W Dempster St 8 South Park Ridge |
| State: | IL US |
| Postal Code: | 600681143 |
| Phone Number: | 8477238077 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2011 |
| NPI Last Update Date: | 04/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Children |
| Taxonomy Definition: | |