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Organization
UNIVERSITY OF ILLINOIS
Active
Organization
UNIVERSITY OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED ZAR MD (RESIDENCY DIRECTOR)
(312) 996-7836
Entity
Organization
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-8687
Mailing address
630 N STATE ST APT 2507, CHICAGO, IL 60610-3981
(312) 545-8848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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