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General NPI Number Information
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NPI Number | 1841361748
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Entity Type | Organization
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Legal Business Name | LOYOLA UNIVERSITY CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 708-216-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 708-216-0469
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Fax | 708-216-0593
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MELISSA M LUKASICK
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Credential |
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Telephone | 708-216-5723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 351
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License Number State | IL
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