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General NPI Number Information
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NPI Number | 1922551100
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Entity Type | Organization
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Legal Business Name | NORWESTERN MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 250 E SUPERIOR ST FL 5 PRENTICE WOMEN'S HOSPITAL
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City | CHICAGO
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State | IL
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Zip | 60611-2914
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Country | US
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Telephone | 602-320-0848
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Fax |
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Provider Business Mailing Address
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Address Line | 1938 N SHEFFIELD AVE UNIT 1
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City | CHICAGO
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State | IL
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Zip | 60614-5019
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Country | US
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Telephone | 602-320-0848
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Fax |
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Authorized Official
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Title or Position | APN
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Name | MS. MELISSA LEIGH FRAZELLE
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Credential | MSN, FNP-BC
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Telephone | 312-472-3678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 209014038
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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 | 209014038
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License Number State | IL
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