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General NPI Number Information
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NPI Number | 1295757771
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Entity Type | Organization
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Legal Business Name | SAINT ANTHONY HEALTH AFFILIATES
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 4192 S ARCHER AVE
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City | CHICAGO
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State | IL
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Zip | 60632-1850
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Country | US
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Telephone | 773-254-2222
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Fax | 773-484-8444
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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 | 773-484-1000
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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 O 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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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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Taxonomy #10
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #12
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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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