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General NPI Number Information
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NPI Number | 1245633726
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Entity Type | Organization
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Legal Business Name | SAINTS MARY AND ELIZABETH MEDICAL CENTER
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 651 S SUTTON RD SUITE 260
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City | STREAMWOOD
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State | IL
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Zip | 60107-2366
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Country | US
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Telephone | 630-424-1122
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Fax | 630-396-2770
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Provider Business Mailing Address
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Address Line | 2233 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-8151
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Country | US
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Telephone | 630-239-5970
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Fax | 630-396-2677
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JAMES NOBLE
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Credential |
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Telephone | 630-239-5970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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