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General NPI Number Information
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NPI Number | 1700251683
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Entity Type | Organization
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Legal Business Name | PRESENCE CHICAGO HOSPITALS NETWORK
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR 2ND FLOOR
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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 | 773-665-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 N LAKE SHORE DR 2ND FLOOR
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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 | CFO
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Name | BRIAN RASMUS
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Credential |
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Telephone | 630-914-2468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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