# EVANSTON HOSPTIAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245501535
- **Authorized official:** UNKNOWN UNKNOWN (UNKOWN)
- **Authorized official phone:** (123) 412-3456

## Contact information

- **Practice address:** 5219 N MASON AVE, CHICAGO, IL 60630-1122
- **Practice address phone:** (177) 338-6217
- **Mailing address:** 5219 N MASON AVE, CHICAGO, IL 60630-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 01/19/2012