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Organization
UNIVERSITY OF CHICAGO
Active
Organization
UNIVERSITY OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JEAN OSTRANDER (MANAGER - PROVIDER ENROLLMENT)
(773) 834-4508
Entity
Organization
Contact information
Practice address
5841 S MARYLAND AVE, UCPG/ MC 1099, CHICAGO, IL 60637-1447
(773) 702-9200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-6400
(773) 702-0000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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