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Organization
WEST LOOP UNIVERSITY MEDICINE, LTD.
Active
Organization
WEST LOOP UNIVERSITY MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J HENNESSY M.D. (PRESIDENT)
(630) 718-0200
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 774, CHICAGO, IL 60612-3841
(312) 942-6013
(312) 829-2024
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160378251
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
02/21/2006
Last updated
08/22/2020
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