# KISHWAUKEE COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669534517
- **Authorized official:** MAURA O'TOOLE (PRESIDENT)
- **Authorized official phone:** (815) 766-7940

## Contact information

- **Practice address:** 1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
- **Practice address phone:** (815) 756-1521
- **Mailing address:** DEPT. 4698, CAROL STREAM, IL 60122-4698
- **Mailing address phone:** (815) 756-1521
- **Mailing address fax:** (815) 748-8337

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 07/02/2024