# UNIVERSITY OF ILLINOIS MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780868893
- **Authorized official:** MRS. CHINNAMMA M CHRETIEN APN (SURGICAL COORDINATOR)
- **Authorized official phone:** (312) 355-5562

## Contact information

- **Practice address:** 840 S WOOD ST, MAIL CODE 958, ROOM 435 E, CHICAGO, IL 60612-4325
- **Practice address phone:** (312) 355-5562
- **Mailing address:** 840 S. WOOD STREET,, MAIL CODE 958, ROOM 435 E, CHCIACO, IL 60612
- **Mailing address phone:** (312) 355-5562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 209006118 | IL | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 12/26/2007