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General NPI Number Information
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NPI Number | 1356529648
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Entity Type | Organization
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Legal Business Name | KISHWAUKEE COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1 KISH HOSPITAL DR
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City | DEKALB
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State | IL
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Zip | 60115-9602
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Country | US
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Telephone | 815-748-8381
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Fax | 815-748-2980
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Provider Business Mailing Address
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Address Line | 1 KISH HOSPITAL DR
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City | DEKALB
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State | IL
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Zip | 60115-9602
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Country | US
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Telephone | 815-748-8381
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Fax | 815-748-2980
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | THOMAS WARZECHA
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Credential | BS PHARMACY
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Telephone | 815-748-8381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 054.017010
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License Number State | IL
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