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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
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
UIC DHD Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 413-1350
Entity
Organization
Contact information
Practice address
1640 W. ROOSEVELT RD MC 727, CHICAGO, IL 60608-6904
(312) 413-1871
(312) 413-1593
Mailing address
1640 W. ROOSEVELT RD MC 727, CHICAGO, IL 60608-6904
(312) 413-1871
(312) 413-1593
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/16/2007
Last updated
05/18/2022
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