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1760432348
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Organization
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<ReplacementNPI/>
<EIN/>
<IsSoleProprietor/>
<IsOrgSubpart>
N
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<ParentOrgTIN/>
<OrgName>
SWEDISH COVENANT MANAGEMENT SERVICES, INC.
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<LastName/>
<FirstName/>
<MiddleName/>
<NamePrefix/>
<NameSuffix/>
<Credential/>
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6
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<OtherFirstName/>
<OtherMiddleName/>
<OtherNamePrefix/>
<OtherNameSuffix/>
<OtherCredential/>
<OtherLastNameTypeCode/>
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2650 RIDGE AVE STE 1223
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<MailingAddressCityName>
EVANSTON
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<MailingAddressStateName>
IL
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<MailingAddressPostalCode>
60201-1700
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<MailingAddressCountryCode>
US
</MailingAddressCountryCode>
<MailingAddressTelephoneNumber>
847-570-2040
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<MailingAddressFaxNumber/>
<FirstLinePracticeLocationAddress>
5140 N CALIFORNIA AVE
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<PracticeLocationAddressCityName>
CHICAGO
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IL
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60625-3645
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US
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847-570-2040
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<PracticeLocationAddressFaxNumber/>
<EnumerationDate>
05/12/2006
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<LastUpdateDate>
06/08/2021
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<NPIDeactivationReasonCode/>
<NPIDeactivationReason/>
<NPIDeactivationDate/>
<NPIReactivationDate/>
<GenderCode/>
<Gender/>
<AuthorizedOfficialLastName>
BRADFORD
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<AuthorizedOfficialFirstName>
CARRIE
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<AuthorizedOfficialMiddleName>
L.
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<AuthorizedOfficialTitle>
AVP, PHYSICIAN SERVICES AND CVO
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<AuthorizedOfficialNamePrefix>
MRS.
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<AuthorizedOfficialNameSuffix/>
<AuthorizedOfficialCredential>
MHA, RHIA, CPMSM, CP
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<AuthorizedOfficialTelephoneNumber>
847-570-2041
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207Q00000X
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<TaxonomyName>
Family Medicine Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
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<Taxonomy>
<TaxonomyCode>
207R00000X
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<TaxonomyName>
Internal Medicine Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
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<Taxonomy>
<TaxonomyCode>
207RE0101X
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<TaxonomyName>
Endocrinology, Diabetes & Metabolism Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
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<Taxonomy>
<TaxonomyCode>
207RG0100X
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<TaxonomyName>
Gastroenterology Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
103T00000X
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<TaxonomyName>
Psychologist
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
207T00000X
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<TaxonomyName>
Neurological Surgery Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
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<Taxonomy>
<TaxonomyCode>
208000000X
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<TaxonomyName>
Pediatrics Physician
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<LicenseNumber>
036097505
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<LicenseNumberStateCode>
IL
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<PrimaryTaxonomySwitch>
N
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<Taxonomy>
<TaxonomyCode>
208100000X
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<TaxonomyName>
Physical Medicine & Rehabilitation Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
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<Taxonomy>
<TaxonomyCode>
2084N0400X
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<TaxonomyName>
Neurology Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
208G00000X
</TaxonomyCode>
<TaxonomyName>
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
363A00000X
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<TaxonomyName>
Physician Assistant
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
363L00000X
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<TaxonomyName>
Nurse Practitioner
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
364SA2100X
</TaxonomyCode>
<TaxonomyName>
Acute Care Clinical Nurse Specialist
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
367A00000X
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<TaxonomyName>
Advanced Practice Midwife
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
N
</PrimaryTaxonomySwitch>
</Taxonomy>
<Taxonomy>
<TaxonomyCode>
207V00000X
</TaxonomyCode>
<TaxonomyName>
Obstetrics & Gynecology Physician
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<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
Y
</PrimaryTaxonomySwitch>
</Taxonomy>
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<HealthcareProviderTaxonomyGroups>
<HealthcareProviderTaxonomyGroup>
<HealthcareProviderTaxonomyGroupName>
193200000X MULTI-SPECIALTY GROUP
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<HealthcareProviderTaxonomyGroupDescription>
Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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<HealthcareProviderTaxonomyGroupName>
193200000X MULTI-SPECIALTY GROUP
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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193200000X MULTI-SPECIALTY GROUP
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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193200000X MULTI-SPECIALTY GROUP
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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193200000X MULTI-SPECIALTY GROUP
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
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