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General NPI Number Information
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NPI Number | 1831364132
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Entity Type | Organization
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Legal Business Name | LORETTO HOSPITAL
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 645 S CENTRAL AVE
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City | CHICAGO
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State | IL
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Zip | 60644-5059
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Country | US
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Telephone | 773-854-5072
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Fax |
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Provider Business Mailing Address
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Address Line | 645 S CENTRAL AVE FL 6
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City | CHICAGO
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State | IL
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Zip | 60644-5059
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Country | US
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Telephone | 773-854-5072
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | KENNETH MCGHEE
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Credential |
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Telephone | 773-854-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1706406
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License Number State | IL
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