The Board Of Trustees Of The University Of Illinois in Chicago - Adolescent Medicine

The Board Of Trustees Of The University Of Illinois - NPI 1093934275

The Board Of Trustees Of The University Of Illinois is a Adolescent Medicine in Chicago, Illinois. The Board Of Trustees Of The University Of Illinois practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for The Board Of Trustees Of The University Of Illinois is 1093934275. The last update date is 2022-05-18.

The Board Of Trustees Of The University Of Illinois's current location address is 840 S Wood St, Chicago, Illinois. You can contact this provider via phone number 3129966711. The mailing address for The Board Of Trustees Of The University Of Illinois is 840 S Wood St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Board Of Trustees Of The University Of Illinois
Address 840 S Wood St, Chicago, Illinois
Phone Number 3129966711
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Sanghani Kailas
Telephone Number 3124131350

NPI Number Detail

NPI Number 1093934275
Provider Enumeration Date 2007-04-25
Last Updated Date 2022-05-18

Provider Mailing Address Detail

Address 840 S Wood St
City Chicago
State Illinois (IL)
Post Code 606124325
Phone Number 3129966711
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1618753 IL BCBS GROUP
CJ9202 IL RAILROAD

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FAQs about The Board Of Trustees Of The University Of Illinois

What is the unique 10-digit identifier code issued to The Board Of Trustees Of The University Of Illinois by the Centers for Medicare & Medicaid Services?

The The Board Of Trustees Of The University Of Illinois has been assigned the NPI (National Provider Identifier) 1093934275 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where The Board Of Trustees Of The University Of Illinois is physically located?

The The Board Of Trustees Of The University Of Illinois is situated at the following address: 840 S Wood St, Chicago, IL 606124325.

What is the area of specialization for The Board Of Trustees Of The University Of Illinois, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for The Board Of Trustees Of The University Of Illinois is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093934275 to The Board Of Trustees Of The University Of Illinois?

The Centers for Medicare & Medicaid Services assigned the 1093934275 to The Board Of Trustees Of The University Of Illinois on 2007-04-25.

When was the information regarding The Board Of Trustees Of The University Of Illinois, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to The Board Of Trustees Of The University Of Illinois, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-18.

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