# BOARD OF TRUSTEES FO THE UNIVERSITY OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UIC Craniofacial Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326483991
- **Authorized official:** MR. MARC WILLIAM DEVAR (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (312) 376-1607

## Contact information

- **Practice address:** 811 S PAULINA ST \# MC588, CHICAGO, IL 60612-4353
- **Practice address phone:** (312) 996-7546
- **Mailing address:** 7732 SOLUTION CENTER, CHICAGO, IL 60677-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 01/20/2022