# IRMA ESPOSITO

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

## Provider details

- **NPI number:** 1376709527
- **Authorized official:** JUDY GRAVDAL M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (847) 723-7959

## Contact information

- **Practice address:** 1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
- **Practice address phone:** (123) 456-7890
- **Mailing address:** 1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
- **Mailing address phone:** (123) 456-7890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 36121026 | IL | Yes |

## Other

- **Enumeration date:** 08/06/2008
- **Last updated:** 08/06/2008
