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General NPI Number Information
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NPI Number | 1619911468
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Entity Type | Organization
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Legal Business Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 3825 HIGHLAND AVE SUITE 5F
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1552
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Country | US
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Telephone | 630-275-1283
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Fax | 630-275-5868
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Provider Business Mailing Address
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Address Line | 3825 HIGHLAND AVE SUITE 5F
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1552
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Country | US
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Telephone | 630-971-5878
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Fax | 630-275-5868
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Authorized Official
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Title or Position | PHARMACIST
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Name | KAREN CHIGANOS
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Credential | BS PHARMACY
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Telephone | 630-275-1283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 058007247
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License Number State | IL
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