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General NPI Number Information
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NPI Number | 1245541176
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CHICAGO MEDICAL CENTER
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE MC 1052 RM J-141
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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Country | US
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Telephone | 773-702-6760
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Fax | 773-702-0861
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Provider Business Mailing Address
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Address Line | 1160 S MICHIGAN AVE APT 1104
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City | CHICAGO
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State | IL
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Zip | 60605-2776
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Country | US
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Telephone | 513-520-6019
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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 | DR. MARKO ROJNICA
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Credential | MD
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Telephone | 773-702-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 125.058273
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License Number State | IL
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