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General NPI Number Information
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NPI Number | 1720269491
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Entity Type | Organization
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Legal Business Name | MOUNT CARMEL MEDICAL CENTER
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 1006 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60622-3565
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Country | US
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Telephone | 773-486-6100
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Fax | 773-486-1620
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Provider Business Mailing Address
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Address Line | PO BOX 47259
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City | CHICAGO
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State | IL
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Zip | 60647-0259
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Country | US
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Telephone | 773-486-6100
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Fax | 773-486-1620
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Authorized Official
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Title or Position | OB-GYN
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Name | DR. HELIO ZAPATA
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Credential | M.D. SC
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Telephone | 773-486-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036042612
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License Number State | IL
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