Board Of Trustees Of The University Of Illinois
Specialty details in registry · Chicago, IL
At a glance
1220 S Wood St, Chicago, IL 60608-1202
NPPES record updated Mar 7, 2023. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1220 S Wood St Room 1045 Mc 884Chicago, IL 60608-1202
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0002X
- Enumeration date
- Feb 8, 2007
- Record updated
- Mar 7, 2023
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
3336C0002X · Primary
License reported: 054.017118 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1220 S Wood StRoom 1045 Mc 884
Chicago, IL 60608-1202
- Phone
- (312) 413-1767
- Fax
- (312) 355-1916
Mailing address
840 S WOOD STROOM 345H MC 884
CHICAGO, IL 606124325
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