University Of Illinois At Chicago
Public Health or Welfare in Chicago, IL. Organization (NPI-2).
NPI number1851606339
StatusActive
Last updated in NPPESAug 9, 2010
Details
- NPI
- 1851606339
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Illinois At Chicago
- Organization subpart
- No
- Enumeration date
- Aug 9, 2010
- Last updated
- Aug 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | 125058950 | IL | Yes |
Practice location
835 S Wolcott Ave # Mc844Chicago, IL 60612-3748
Phone 312-996-9858
Mailing address
1440 Sheridan Rd Unit 405Wilmette, IL 60091-1856
Phone 847-728-0893
Authorized official
Guilherme Giusti
Resident
5078849439
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