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General NPI Number Information
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NPI Number | 1548499338
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Entity Type | Organization
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Legal Business Name | JOHN STROGER JR. HOSPITAL OF COOK COUNTY
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 2503 W HARRISON ST UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60612-3476
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Country | US
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Telephone | 330-962-5619
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 W HARRISON ST UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60612-3476
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Country | US
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Telephone | 330-962-5619
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. NORELL ROSADO
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Credential | MD
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Telephone | 312-864-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | 125053765
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License Number State | IL
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