NPI 1720376965

University of Illinois Chicago

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

Practice location

Address: 1740 West Taylor Street, University of Illinois, Chicago, IL 60612
Phone: (866) 600-2273

Authorised official

Name: Leela M Prasad
Title: Chief of Colorectal Surgery
Phone: (312) 413-2708

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence 125059358 (IL)

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Registry record

NPI: 1720376965
Entity type: Organization
NPI issued: 20 Jul 2011
Record last updated: 20 Jul 2011

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.