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General NPI Number Information
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NPI Number | 1326969783
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Entity Type | Organization
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Legal Business Name | LA RABIDA CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 12701 W 143RD ST STE 280
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City | HOMER GLEN
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State | IL
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Zip | 60491-7715
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Country | US
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Telephone | 773-363-6700
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Fax | 773-363-6774
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Provider Business Mailing Address
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Address Line | 6501 S PROMONTORY DR
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City | CHICAGO
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State | IL
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Zip | 60649-1002
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Country | US
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Telephone | 773-363-6700
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Fax | 773-363-6774
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | ANTHONY MICHAEL MCWHORTER
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Credential |
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Telephone | 773-256-5925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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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 | 283XC2000X
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Taxonomy Name | Children's Rehabilitation Hospital
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License Number |
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License Number State |
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