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General NPI Number Information
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NPI Number | 1811984388
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Entity Type | Organization
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Legal Business Name | MIDWESTERN REGIONAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2520 ELISHA AVE
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City | ZION
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State | IL
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Zip | 60099-2676
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Country | US
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Telephone | 847-746-4244
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Fax | 847-746-4213
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Provider Business Mailing Address
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Address Line | 2610 SHERIDAN RD
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City | ZION
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State | IL
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Zip | 60099-2615
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Country | US
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Telephone | 847-731-4151
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Fax | 847-746-4213
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Authorized Official
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Title or Position | CFO
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Name | RICHARD LEE PIEKARZ
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Credential |
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Telephone | 847-731-4151
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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 |
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License Number State |
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