The Board Of Trustees Of The University Of Illinois
Urology in Chicago, IL. Organization (NPI-2).
NPI number1760601892
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1760601892
- Entity type
- Organization (NPI-2)
- Legal business name
- The Board Of Trustees Of The University Of Illinois
- Organization subpart
- No
- Enumeration date
- Apr 25, 2007
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 2088P0231X | Urology, Pediatric Urology | – | – |
Other names
- Dept Of Urology (Other Name)
Practice location
820 S Wood StChicago, IL 60612-4325
Phone 312-996-2779
Mailing address
7732 Solution CenterChicago, IL 60677-0001
Authorized official
Kailas Sanghani
Director Of Finance
3124131350
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