NPI 1043727571

The Board of Trustees of the University of Illinois

Organisation Occupational Medicine Physician Chicago, IL

Practice location

Address: 835 S. Wolcott Suite E-144; Mc 684, Chicago, IL 60612
Phone: (312) 996-7420
Fax: (312) 413-8485
Mailing address: 7732 Solutions Center, Chicago, IL 60677-7007

Authorised official

Name: Daniel a Bakston
Title: Interim Director
Phone: (312) 355-3554

Registered specialties (2)

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

Other Preventive Medicine providers in Illinois →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1043727571
Entity type: Organization
NPI issued: 5 Jan 2018
Record last updated: 11 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.