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General NPI Number Information
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NPI Number | 1174652176
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Entity Type | Organization
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Legal Business Name | LITTLE SISTERS OF THE POOR CHICAGO INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 12/18/2017
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Provider Practice Location Address
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Address Line | 2325 N LAKEWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3112
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Country | US
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Telephone | 773-935-9600
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Fax | 773-935-4291
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Provider Business Mailing Address
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Address Line | 2325 N LAKEWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3112
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Country | US
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Telephone | 773-935-9600
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Fax | 773-935-4291
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLAIRE MCCANLESS
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Credential |
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Telephone | 773-935-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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