NPI 1336399583

Univ. of Illinois at Chicago

Organisation Physiological Laboratory Chicago, IL

Practice location

Address: 851 S Morgan St Seo, Mc 063, Room 218, Chicago, IL 60607-7042
Phone: (312) 996-2335
Fax: (312) 996-5921
Mailing address: 509 Aurora Ave 305, Naperville, IL 60540-6221

Authorised official

Name: Percival Davis McCormack
Title: Professor of Bioengineering
Phone: (312) 996-2335

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence D0030401 (MD)

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Registry record

NPI: 1336399583
Entity type: Organization
NPI issued: 24 Sep 2008
Record last updated: 24 Sep 2008

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.