Organization
KISHWAUKEE COMMUNITY HOSPITAL
Active
Other names
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAURA O'TOOLE (PRESIDENT)
(815) 766-7940
Entity
Organization
Contact information
Practice address
ONE KISH HOSPITAL DR, DEKALB, IL 60115-4939
(815) 756-1521
Mailing address
PO BOX 846, DEKALB, IL 60115-0846
(815) 756-1521
(815) 748-8354
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
IL
01
—
1915190
BCBSIL PHYSICIAN
IL
Enumeration date
12/21/2006
Last updated
07/10/2023
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