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Organization
UNIV. OF ILLINOIS AT CHICAGO
Active
Organization
UNIV. OF ILLINOIS AT CHICAGO
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. PERCIVAL DAVIS MCCORMACK M.D.,PH.D. (PROFESSOR OF BIOENGINEERING)
(312) 996-2335
Entity
Organization
Contact information
Practice address
851 S MORGAN ST, SEO, MC 063, ROOM 218, CHICAGO, IL 60607-7042
(312) 996-2335
(312) 996-5921
Mailing address
509 AURORA AVE, 305, NAPERVILLE, IL 60540-6221
(630) 527-0735
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
D0030401
MD
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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