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Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Dept of Physical Medicine and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 413-1350
Entity
Organization
Contact information
Practice address
912 S WOOD, CHICAGO, IL 60612-7327
(312) 996-3496
Mailing address
7732 SOLUTION CENTER, CHICAGO, IL 60677-0001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
04/26/2007
Last updated
06/22/2022
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