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General NPI Number Information
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NPI Number | 1902074784
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Entity Type | Organization
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Legal Business Name | LOUIS A WEISS MEMORAIL HOSPITAL
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 2400 DANBURY DR UNITB-2
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City | WOODRIDGE
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State | IL
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Zip | 60517-2091
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Country | US
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Telephone | 630-395-9105
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Fax | 630-395-9105
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Provider Business Mailing Address
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Address Line | 2400 DANBURY DR UINT-2
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City | WOODRIDGE
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State | IL
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Zip | 60517-2091
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Country | US
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Telephone | 630-395-9105
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Fax | 630-395-9105
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Authorized Official
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Title or Position | CERIFIED SURGICAL ASSISTANTS
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Name | MRS. NAKKA VENKAT ARUNA KUMARI
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Credential | MBBS9(OSM)
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Telephone | 630-395-9105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number |
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License Number State | IL
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Taxonomy #2
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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 | IL
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