# UNIVERSITY OF ILLINOIS AT CHICAGO

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

## Provider details

- **NPI number:** 1649522095
- **Authorized official:** MS. JULIE ANN ROBICHAUD PT, PHD (SPECIAIST IN PT)
- **Authorized official phone:** (312) 355-9600

## Contact information

- **Practice address:** 1919 WEST TAYLOR - 650 AHSB, DEPARTMENT OF KINESIOLOGY AN, CHICAGO, IL 60612
- **Practice address phone:** (708) 507-0154
- **Mailing address:** 34 MARENGO AVE UNIT A, FOREST PARK, IL 60130-1107
- **Mailing address phone:** (708) 488-9045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 070.010259 | IL | Yes |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 10/10/2012