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General NPI Number Information
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NPI Number | 1689781080
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Entity Type | Organization
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Legal Business Name | ELMHURST MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 155 E BRUSH HILL ROAD
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City | ELMHURST
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State | IL
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Zip | 60126
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Country | US
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Telephone | 331-221-0171
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Fax | 331-221-3704
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Provider Business Mailing Address
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Address Line | 155 E BRUSH HILL ROAD
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City | ELMHURST
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State | IL
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Zip | 60126
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Country | US
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Telephone | 331-221-0171
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Fax | 331-221-3704
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Authorized Official
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Title or Position | CFO
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Name | MR. JAMES F. DOYLE
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Credential |
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Telephone | 331-221-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 054017217
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License Number State | IL
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