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General NPI Number Information
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NPI Number | 1407859655
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Entity Type | Organization
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Legal Business Name | DELNOR COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 300 RANDALL RD
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City | GENEVA
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State | IL
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Zip | 60134-4200
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Country | US
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Telephone | 630-208-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 RANDALL RD
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City | GENEVA
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State | IL
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Zip | 60134-4200
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Country | US
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Telephone | 630-208-3000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL VIVODA
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Credential |
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Telephone | 630-208-3071
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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 | 0004333
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License Number State | IL
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