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General NPI Number Information
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NPI Number | 1053457929
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Entity Type | Organization
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Legal Business Name | WESTLAKE COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1225 W LAKE ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4039
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Country | US
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Telephone | 708-938-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 W LAKE ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4039
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Country | US
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Telephone | 708-938-7040
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR, PFS
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Name | SUSAN PFISTER
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Credential |
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Telephone | 773-792-9903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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