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Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA LEVITSKE (DIRECTOR OF FINANCE)
(312) 996-0566
Entity
Organization
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
7732 SOLUTION CTR, CHICAGO, IL 60677-7007
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
NULL
2088P0231X
Pediatric Urology Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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