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General NPI Number Information
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NPI Number | 1801991161
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Entity Type | Organization
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Legal Business Name | WHITEHALL NORTH, L.L.C.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 WAUKEGAN RD
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City | DEERFIELD
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State | IL
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Zip | 60015-4908
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Country | US
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Telephone | 847-945-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 300 WAUKEGAN RD
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City | DEERFIELD
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State | IL
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Zip | 60015-4908
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Country | US
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Telephone | 847-945-4600
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. MARK HOLLANDER
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Credential |
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Telephone | 847-679-9141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0046474
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License Number State | IL
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