# THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dept of Physical Medicine and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023238433
- **Authorized official:** KAILAS SANGHANI (DIRECTOR OF FINANCE)
- **Authorized official phone:** (312) 413-1350

## Contact information

- **Practice address:** 912 S WOOD, CHICAGO, IL 60612-7327
- **Practice address phone:** (312) 996-3496
- **Mailing address:** 7732 SOLUTION CENTER, CHICAGO, IL 60677-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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