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Organization
THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Active
Organization
THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Active
Parent organization
THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Authorized official
NICOLE LYNN FOUNTAIN (VP REVENUE CYCLE)
(773) 834-5895
Entity
Organization
Contact information
Practice address
10855 VIRGINIA ST STE 2100, CROWN POINT, IN 46307-0210
(999) 999-9999
Mailing address
150 HARVESTER DR RM SUITE300, BURR RIDGE, IL 60527-5919
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/30/2023
Last updated
09/26/2023
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