Provider Demographics
NPI:1992172464
Name:ADVOCATE HEALTHCARE
Entity type:Organization
Organization Name:ADVOCATE HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:POST-DOCTORAL RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHAELYN
Authorized Official - Middle Name:COURTNEY
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LPC
Authorized Official - Phone:414-573-7432
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60454-0776
Mailing Address - Country:US
Mailing Address - Phone:800-216-1110
Mailing Address - Fax:708-346-4868
Practice Address - Street 1:4700 W 95TH ST
Practice Address - Street 2:STE LL5
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2533
Practice Address - Country:US
Practice Address - Phone:800-216-1110
Practice Address - Fax:708-346-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178008246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty