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General NPI Number Information
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NPI Number | 1194404251
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Entity Type | Organization
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Legal Business Name | PRESENCE CHICAGO HOSPITALS NETWORK
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 773-665-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 773-665-3000
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR OF NET REV & REIMB
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Name | MARY JO MACKNISKAS
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Credential |
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Telephone | 773-213-0776
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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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