CCN: 140182 NPI: 1912014564 Organization

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

836 W WELLINGTON AVE
CHICAGO, IL 606575147

Contact Information

Phone 7739751600
Enumeration Date 2006-08-23
Last Updated 2026-01-28

Taxonomies

Code: 273R00000X License State: IL License: 273R00000X
Code: 273Y00000X License State: IL License: 273Y00000X
Code: 291U00000X
Code: 282N00000X (Primary) License State: IL License: 282N00000X

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0989

operatingCostToChargeRatio 0.2

medicaidRatio 0.2111

uncompensatedCareAmount 1494.61

internsToBedsRatio 0.8216

vbpAdjustment 1.0019235638

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0989

operatingCostToChargeRatio 0.2

medicaidRatio 0.2111

uncompensatedCareAmount 1494.61

internsToBedsRatio 0.8216

vbpAdjustment 1.0019235638

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.2

medicaidRatio 0.2111

uncompensatedCareAmount 1494.61

internsToBedsRatio 0.8216

vbpAdjustment 1.0019235638

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.2

medicaidRatio 0.2111

uncompensatedCareAmount 1494.61

internsToBedsRatio 0.8216

vbpAdjustment 1.0019235638

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.2

medicaidRatio 0.2111

uncompensatedCareAmount 1275.07

internsToBedsRatio 0.8216

vbpAdjustment 0.9908515371

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.212

medicaidRatio 0.2377

uncompensatedCareAmount 1275.07

internsToBedsRatio 0.8519

vbpAdjustment 0.9908515371

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.212

medicaidRatio 0.2377

uncompensatedCareAmount 1275.07

internsToBedsRatio 0.8552

vbpAdjustment 0.9908515371

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.212

medicaidRatio 0.2377

uncompensatedCareAmount 1369.06

internsToBedsRatio 0.8552

vbpAdjustment 0.9937612875

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.235

medicaidRatio 0.2258

uncompensatedCareAmount 1369.06

internsToBedsRatio 0.8697

vbpAdjustment 0.9937612875

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.235

medicaidRatio 0.2258

uncompensatedCareAmount 1369.06

internsToBedsRatio 0.8697

vbpAdjustment 0.9937612875

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.235

medicaidRatio 0.2258

uncompensatedCareAmount 1369.06

internsToBedsRatio 0.8285

vbpAdjustment 0.9937612875

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.235

medicaidRatio 0.2258

uncompensatedCareAmount 1388.48

internsToBedsRatio 0.8285

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.214

medicaidRatio 0.2474

uncompensatedCareAmount 1388.48

internsToBedsRatio 0.8285

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.214

medicaidRatio 0.2474

uncompensatedCareAmount 1388.48

internsToBedsRatio 0.8265

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.214

medicaidRatio 0.2474

uncompensatedCareAmount 1388.48

internsToBedsRatio 0.8265

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.214

medicaidRatio 0.2474

uncompensatedCareAmount 1388.48

internsToBedsRatio 0.8265

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.214

medicaidRatio 0.2474

uncompensatedCareAmount 1306.53

internsToBedsRatio 0.8265

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.28

medicaidRatio 0.2368

uncompensatedCareAmount 1306.53

internsToBedsRatio 0.7705

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.28

medicaidRatio 0.2368

uncompensatedCareAmount 1306.53

internsToBedsRatio 0.7705

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.28

medicaidRatio 0.2368

uncompensatedCareAmount 1306.53

internsToBedsRatio 0.7705

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.28

medicaidRatio 0.2368

uncompensatedCareAmount 1306.53

internsToBedsRatio 0.7705

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.217

medicaidRatio 0.2296

uncompensatedCareAmount 1306.53

internsToBedsRatio 0.7805

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.217

medicaidRatio 0.2296

uncompensatedCareAmount 1217.66

internsToBedsRatio 0.7805

vbpAdjustment 1.0006896134

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.217

medicaidRatio 0.2296

uncompensatedCareAmount 1217.66

internsToBedsRatio 0.7405

vbpAdjustment 1.0006896134

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.217

medicaidRatio 0.2296

uncompensatedCareAmount 1456.78

internsToBedsRatio 0.7405

vbpAdjustment 1.0003385114

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.232

medicaidRatio 0.2473

uncompensatedCareAmount 1456.78

internsToBedsRatio 0.6345

vbpAdjustment 1.0003385114

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.232

medicaidRatio 0.2473

uncompensatedCareAmount 1456.78

internsToBedsRatio 0.6345

vbpAdjustment 1.0003385114

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.232

medicaidRatio 0.2473

uncompensatedCareAmount 1456.78

internsToBedsRatio 0.6345

vbpAdjustment 1.0003385114

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.232

medicaidRatio 0.2473

uncompensatedCareAmount 1639.92

internsToBedsRatio 0.6345

vbpAdjustment 1.0035838598

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.232

medicaidRatio 0.2473

uncompensatedCareAmount 1639.92

internsToBedsRatio 0.6345

vbpAdjustment 1.0035838598

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.22

medicaidRatio 0.2437

uncompensatedCareAmount 1639.92

internsToBedsRatio 0.6425

vbpAdjustment 1.0035838598

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.22

medicaidRatio 0.2437

uncompensatedCareAmount 1639.92

internsToBedsRatio 0.6374

vbpAdjustment 1.0035838598

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.22

medicaidRatio 0.2437

uncompensatedCareAmount 1639.92

internsToBedsRatio 0.6374

vbpAdjustment 1.0035838598

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.22

medicaidRatio 0.2437

uncompensatedCareAmount 1639.92

internsToBedsRatio 0.615

vbpAdjustment 1.0035838598

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.22

medicaidRatio 0.2437

uncompensatedCareAmount 1443.88

internsToBedsRatio 0.615

vbpAdjustment 1.0009245023

hhrAdjustment 0.9924

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0989

operatingCostToChargeRatio 0.211

medicaidRatio 0.3136

uncompensatedCareAmount 1443.88

internsToBedsRatio 0.6131

vbpAdjustment 1.0009245023

hhrAdjustment 0.9924

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.282

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.282

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.282

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.249

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.249

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.191

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.191

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.247

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.247

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.362

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.362

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.293

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.293

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.292

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.292

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.247

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.247

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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