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General NPI Number Information
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NPI Number | 1558367656
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Entity Type | Organization
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Legal Business Name | WESTSIDE COMMUNITY HOSPITAL INC.
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 3240 W. FRANKLIN BLVD.
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City | CHICAGO
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State | IL
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Zip | 60624
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Country | US
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Telephone | 773-722-3020
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Fax | 773-265-7361
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Provider Business Mailing Address
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Address Line | 3240 W. FRANKLIN BLVD
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City | CHICAGO
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State | IL
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Zip | 60624
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Country | US
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Telephone | 773-722-3020
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Fax | 773-265-7361
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Authorized Official
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Title or Position | VP OF FINANCE-CFO
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Name | MR. ROY PAYAWAL
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Credential | CPA
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Telephone | 773-265-7626
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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 |
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License Number State | IL
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