Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
283XC2000X |
| NPI # | 1598019051 |
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| LBN Legal business name | ADVOCATE MEDICAL GROUP | ||||
| Authorized official | LORI OSBORNE - (COORDINATOR, MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/06/2012 | ||||
| Last updated | 11/06/2012 - About 14 years ago | ||||
| Identifiers |
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