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General NPI Number Information
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NPI Number | 1508208273
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Entity Type | Organization
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Legal Business Name | JOHN H STROGER HOSPITAL OF COOK COUNTY
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 1900 W POLK ST
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City | CHICAGO
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State | IL
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Zip | 60612-3723
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 706 W BARRY AVE APT 2B
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City | CHICAGO
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State | IL
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Zip | 60657-4584
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PGY1
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Name | DR. ALEXANDRA SIMONE MONDE
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Credential | MD
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Telephone | 703-655-6055
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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 | 125064220
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License Number State | IL
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