Organization
EVANSTON HOSPTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNKNOWN UNKNOWN (UNKOWN)
(123) 412-3456
Entity
Organization
Contact information
Practice address
5219 N MASON AVE, CHICAGO, IL 60630-1122
(177) 338-6217
Mailing address
5219 N MASON AVE, CHICAGO, IL 60630-1122
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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