ADVOCATE NORTHSIDE HEALTH SYSTEM – NPI #1861774408
Clinic/Center

ADVOCATE NORTHSIDE HEALTH SYSTEM is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1861774408 to ADVOCATE NORTHSIDE HEALTH SYSTEM on September 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Apr 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVOCATE NORTHSIDE HEALTH SYSTEM below.

NPI Profile for
ADVOCATE NORTHSIDE HEALTH SYSTEM

NPI Number
1861774408
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVOCATE NORTHSIDE HEALTH SYSTEM
Primary location
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657-6709
Phone: (873) 843-0200 Fax:
Mailing address
PO BOX 70508
CHICAGO, IL 60673-0508
Phone: Fax:
Organization Subpart
No
Authorized Official
KARA RICHARDSON
VP MANAGED HEALTH
Phone: (980) 416-4068
Updated
Certification Date
Apr 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVOCATE NORTHSIDE HEALTH SYSTEM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIL04004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
IL 04004

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
64 S PRICE RD STE B,
BROWNSVILLE, TX 77025-1669