NPI 1679993471

Uic Clinic

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

Practice location

Address: 2605 S Indiana Ave Unit 606, Chicago, IL 60616-2865
Phone: (312) 504-7972

Authorised official

Name: Scott Pinkerton
Title: Customer Service Specialist
Phone: (217) 333-2180

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence 018001794 (IL)

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Registry record

NPI: 1679993471
Entity type: Organization
NPI issued: 18 Apr 2014
Record last updated: 18 Apr 2014

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.