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General NPI Number Information
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NPI Number | 1881729036
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Entity Type | Organization
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Legal Business Name | TAYLORVILLE MEMORIAL CHILDRENS HOSPITAL
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 201 E PLEASANT ST
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City | TAYLORVILLE
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State | IL
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Zip | 62568-1562
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Country | US
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Telephone | 217-824-3331
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Fax | 217-824-1624
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Provider Business Mailing Address
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Address Line | 201 E PLEASANT ST
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City | TAYLORVILLE
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State | IL
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Zip | 62568-1562
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Country | US
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Telephone | 217-824-3331
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Fax | 217-824-1624
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Authorized Official
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Title or Position | CEO
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Name | MR. DAN J RAAB
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Credential |
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Telephone | 217-824-3331
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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 | 000002691
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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