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.
Organization
UNIVERSITY OF ILLINOIS
Active
Organization
UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEE'S
Other names
UIC South Loop Physicians Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEE'S
Authorized official
TERRY THOMPSON (DIRECTOR UNIVERSITY TAX)
(800) 260-9113
Entity
Organization
Contact information
Practice address
840 S WOOD ST, DEPARTMENT OF MEDICINE, M/C 787, CHICAGO, IL 60612-4325
(312) 996-1823
Mailing address
2600 S MICHIGAN AVE, SUITE 205, CHICAGO, IL 60616-2857
(312) 996-1823
(312) 413-5604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up