# UNIVERSITY OF CHICAGO

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

## Provider details

- **NPI number:** 1821048786
- **Authorized official:** MARY JEAN OSTRANDER (MANAGER - PROVIDER ENROLLMENT)
- **Authorized official phone:** (773) 834-4508

## Contact information

- **Practice address:** 5841 S MARYLAND AVE, UCPG/MC 1099, CHICAGO, IL 60637-1447
- **Practice address phone:** (773) 702-9200
- **Mailing address:** 150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
- **Mailing address phone:** (773) 702-6400
- **Mailing address fax:** (773) 702-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/03/2020