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General NPI Number Information
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NPI Number | 1467817874
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Entity Type | Organization
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Legal Business Name | NORTHWEST COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-1000
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Fax | 847-618-5009
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Provider Business Mailing Address
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Address Line | 800 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-1000
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Fax | 847-618-5009
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Authorized Official
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Title or Position | CEO
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Name | MR. STEPHEN SCOGNA
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Credential |
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Telephone | 847-618-5000
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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 | 0001701
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 14D0411645
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License Number State | IL
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