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General NPI Number Information
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NPI Number | 1184490062
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Entity Type | Organization
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Legal Business Name | SAINT ANTHONY HOSPITAL
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 4769 W CERMAK RD
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City | CICERO
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State | IL
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Zip | 60804-2508
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Country | US
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Telephone | 773-484-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 S DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60608-1169
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DENNIS ANOSIKE
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Credential |
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Telephone | 773-484-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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