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General NPI Number Information
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NPI Number | 1922338821
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Entity Type | Organization
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Legal Business Name | JOHN STROGER COOK COUNTY HOSPITAL
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 655 ELDER LN
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City | DEERFIELD
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State | IL
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Zip | 60015-3146
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Country | US
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Telephone | 847-275-8362
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Fax |
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Provider Business Mailing Address
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Address Line | 655 ELDER LN
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City | DEERFIELD
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State | IL
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Zip | 60015-3146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | ANITA GUPTA
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Credential |
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Telephone | 847-275-8362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number |
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License Number State |
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