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General NPI Number Information
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NPI Number | 1922332881
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Entity Type | Organization
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Legal Business Name | ADVOCATE CHRIST MEDICAL CENTER
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 4440 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2600
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Country | US
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Telephone | 708-684-3798
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Fax |
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Provider Business Mailing Address
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Address Line | 4440 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2600
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Country | US
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Telephone | 708-684-3798
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR CANCER INSTITUTE
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Name | MRS. MICHELE GOODIER
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Credential | MHSA, FACHE
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Telephone | 708-685-5089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 209.002306
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License Number State | IL
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