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General NPI Number Information
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NPI Number | 1043540503
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Entity Type | Organization
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Legal Business Name | COOK COUNTY HOSPITAL
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 W HARRISON ST APT 1702
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 773-440-6689
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | TRUPTI VASANTRAO KALE
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Credential | M.D.
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Telephone | 773-440-6689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 125056263
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License Number State | IL
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