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General NPI Number Information
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NPI Number | 1861837718
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Entity Type | Organization
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Legal Business Name | ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 225 EAST CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-227-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 9849 S. CLIFTON PARK AVE
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City | EVERGREEN PARK
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State | IL
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Zip | 60805
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Country | US
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Telephone | 773-317-1839
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Fax |
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Authorized Official
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Title or Position | APN, MSN, CPNP
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Name | MRS. SYLVIA PEREZ SMITH
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Credential | APN
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Telephone | 773-317-1839
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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 | 209.009698041.348598
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License Number State | IL
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