University of Illinois at Chicago
University of Illinois at Chicago is an Exclusive Provider Organization in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
833 S Wood StChicago, IL 60612-7229
Phone: (312) 355-4081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 051291932 (IL) |
|---|
Record details
| NPI number | 1437407897 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jay Tran — Clinical Pharmacist · (312) 355-4081 |
| NPI enumerated | August 16, 2012 |
| Last updated in NPPES | August 16, 2012 |
| Mailing address | 833 S Wood St, Chicago, IL 60612-7229 |
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