# WEISS MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1356601751
- **Authorized official:** MRS. NAKKA ARUNA KUMARI CSA (CERTIFIED SURGICAL ASSISTANTS)
- **Authorized official phone:** (630) 702-9951

## Contact information

- **Practice address:** 655 ROCKLAND RD, STE 211, LAKE BLUFF, IL 60044-1782
- **Practice address phone:** (630) 702-9951
- **Mailing address:** 2400 DANBURY DR APT B2, WOODRIDGE, IL 60517-2091
- **Mailing address phone:** (630) 702-9951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 238000178 | IL | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012