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NPI Code Detail

MEDICARE: WESTSIDE COMMUNITY HOSPITAL INC.

MEDICARE: WESTSIDE COMMUNITY HOSPITAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalIL

General Provider Information

NPI Number : 1558367656
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTSIDE COMMUNITY HOSPITAL INC.
Provider Business Mailing Address
First Line : 3240 W. FRANKLIN BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60624
Country : US
Telephone Number : 773-722-3020
Fax Number : 773-265-7361
Provider Business Practice Location Address
First Line : 3240 W. FRANKLIN BLVD.
Second Line :
City : CHICAGO
State : IL
Zip : 60624
Country : US
Telephone Number : 773-722-3020
Fax Number : 773-265-7361
Authorized Official
Title or Position : VP OF FINANCE-CFO
Name : MR. ROY PAYAWAL
Credential : CPA
Telephone Number : 773-265-7626
Provider Enumeration Date : 06/23/2005
Last Update Date : 04/04/2013

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Directions to “WESTSIDE COMMUNITY HOSPITAL INC. ” Practice Location

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