NPI 1356543102

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: (866) 600-2273
Mailing address: 1935 South Archer Ave. 222, Chicago, IL 60616

Authorised official

Name: Sonny Garcha
Title: Anesthesia Resident
Phone: (312) 375-2535

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1356543102
Entity type: Organization
NPI issued: 4 Jun 2007
Record last updated: 22 Aug 2020

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.