# UNIVERSITY OF ILLINOIS AT CHICAGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164894465
- **Authorized official:** DR. EMILY MEREDITH MAYEKAR MD (RESIDENT PHYSICIAN)
- **Authorized official phone:** (847) 287-5711

## Contact information

- **Practice address:** 835 S WOLCOTT AVE, E 270, CHICAGO, IL 60612-3748
- **Practice address phone:** (312) 996-7161
- **Mailing address:** 835 S WOLCOTT AVE, E 270, CHICAGO, IL 60612-3748
- **Mailing address phone:** (312) 996-7161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125059887 | IL | Yes |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 10/26/2015
