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General NPI Number Information
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NPI Number | 1760618409
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Entity Type | Organization
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Legal Business Name | SAINTS MARY AND ELIZABETH MEDICAL CENTERS
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 2233 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-8151
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Country | US
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Telephone | 773-770-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2531 PAYSPHERE CIRCLE
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City | CHICAGO
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State | IL
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Zip | 60674-0001
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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 | CONTROLLER
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Name | ROBERT CECH
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Credential |
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Telephone | 773-770-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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