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General NPI Number Information
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NPI Number | 1801337506
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CHICAGO MEDICAL CENTER
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 1122 PAYSPHERE CIR
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City | CHICAGO
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State | IL
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Zip | 60674-0011
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Country | US
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Telephone | 773-702-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 5841 S MARYLAND AVE MC1033
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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Country | US
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Telephone | 773-702-5486
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Fax | 773-834-3673
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Authorized Official
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Title or Position | DIRECTOR MANAGED CARE
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Name | BELINDA SCHULTZ
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Credential | MHA
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Telephone | 773-702-5486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0003897
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License Number State | IL
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