| Organization Name: | ADVOCATE CHRIST MEDICAL CENTER |
| NPI Number: | 1295119808 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER RUSCO (APN- EMERGENCY SERVICES) |
| Mailing Address: | 12997 Sunrise Dr Lemont |
| State: | IL US |
| Postal Code: | 604394565 |
| Phone Number: | 7089033974 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2015 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 209012912 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |