Organization
KISHWAUKEE COMMUNITY HOSPITAL
Active
Other names
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA O'TOOLE (PRESIDENT)
(815) 766-7940
Entity
Organization
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Mailing address
DEPT. 4698, CAROL STREAM, IL 60122-4698
(815) 756-1521
(815) 748-8337
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003659
HEALTH ALLIANCE
—
01
—
0059
IL BLUE CROSS INPATIENT
IL
Enumeration date
12/15/2006
Last updated
07/02/2024
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