NPI 1316132764

University of Illinois

Organisation Student in an Organized Health Care Education/Training Program Chicago, IL

Practice location

Address: 1740 W Taylor St, Chicago, IL 60612-7232
Phone: (312) 413-8687
Mailing address: 630 N State St APT 2507, Chicago, IL 60610-3981

Authorised official

Name: Fred Zar
Title: Residency Director
Phone: (312) 996-7836

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1316132764
Entity type: Organization
NPI issued: 10 Sep 2007
Record last updated: 10 Sep 2007

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.