=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912244948
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORWOOD HEALTH LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2013
-----------------------------------------------------
Last Update Date | 01/10/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7122 W HIGGINS AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60656-1904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-631-2000
-----------------------------------------------------
Fax | 773-631-9025
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7122 W HIGGINS AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60656-1904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-631-2000
-----------------------------------------------------
Fax | 773-631-9025
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DOCTOR
-----------------------------------------------------
Name | DR. ELIZABETH PULAWSKI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 773-631-2000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number | 042619998
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------