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General NPI Number Information
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NPI Number | 1366759110
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CHICAGO HOSPITALS
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 8541 S MARYLAND AVE MC 3051
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City | CHICAGO
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State | IL
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Zip | 60619-6215
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Country | US
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Telephone | 773-702-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 5841 S MARYLAND AVE MC 3051
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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 | 773-702-6840
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. RODERICK CORRO DEANO
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Credential | MD, MPH
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Telephone | 773-702-6840
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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 |
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License Number State |
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