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Organization
UIC CLINIC
Active
Organization
UIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PINKERTON (CUSTOMER SERVICE SPECIALIST)
(217) 333-2180
Entity
Organization
Contact information
Practice address
2605 S INDIANA AVE UNIT 606, CHICAGO, IL 60616-2865
(312) 504-7972
Mailing address
2605 S INDIANA AVE UNIT 606, CHICAGO, IL 60616-2865
(312) 504-7972
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
018001794
IL
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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