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General NPI Number Information
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NPI Number | 1609156066
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH HOSPITAL
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 773-665-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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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 | RESIDENT PHYSICIAN - OB/GYN
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Name | DR. FARAH ABBAS ALVI
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Credential | M.D.
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Telephone | 312-972-0484
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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 | 125059949
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License Number State | IL
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