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General NPI Number Information
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NPI Number | 1922019926
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Entity Type | Organization
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Legal Business Name | TOUCHETTE REGIONAL HOSPITAL INC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 5900 BOND AVE
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City | CAHOKIA HEIGHTS
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State | IL
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Zip | 62207-2326
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Country | US
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Telephone | 618-332-3060
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Fax | 618-332-5256
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Provider Business Mailing Address
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Address Line | 5900 BOND AVE
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City | CAHOKIA HEIGHTS
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State | IL
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Zip | 62207-2326
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Country | US
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Telephone | 618-332-3060
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Fax | 618-332-5256
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRAD GOACHER
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Credential |
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Telephone | 618-332-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036048550
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036057027
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036087564
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036075453
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License Number State | IL
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