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General NPI Number Information
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NPI Number | 1538540877
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Entity Type | Organization
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Legal Business Name | ADVOCATE HEALTH & HOSPITAL CO
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 4901 W 79TH ST 2ND FLOOR
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City | BURBANK
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State | IL
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Zip | 60459-1554
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Country | US
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Telephone | 708-876-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 W 79TH ST 2ND FLOOR
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City | BURBANK
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State | IL
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Zip | 60459-1554
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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 | PRESIDENT & CEO
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Name | JIM SKOGSBERGH
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Credential |
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Telephone | 630-929-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 149.017417
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License Number State | IL
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