# BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- **Other names:** UIMC Reference Lab Professional Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952552101
- **Legal business name:** BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- **Authorized official:** WALTER K KNORR (VICE PRESIDENT, CHIEF FINANCIAL OFF)
- **Authorized official phone:** (312) 996-8800

## Contact information

- **Practice address:** 840 S WOOD ST, ROOM 170 (MC 750), CHICAGO, IL 60612-4325
- **Practice address phone:** (312) 355-5800
- **Practice address fax:** (312) 996-8261
- **Mailing address:** 840 S WOOD ST, ROOM 170 (MC 750), CHICAGO, IL 60612-4325
- **Mailing address phone:** (312) 355-5800
- **Mailing address fax:** (312) 996-8261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | NULL | — |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | — | — |
| 207ZC0006X | Clinical Pathology Physician | — | NULL | Yes |
| 207ZC0006X | Clinical Pathology Physician | — | — | Yes |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZF0201X | Forensic Pathology Physician | — | NULL | — |
| 207ZF0201X | Forensic Pathology Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZI0100X | Immunopathology Physician | — | NULL | — |
| 207ZI0100X | Immunopathology Physician | — | — | — |
| 207ZM0300X | Medical Microbiology Physician | — | NULL | — |
| 207ZM0300X | Medical Microbiology Physician | — | — | — |
| 207ZN0500X | Neuropathology Physician | — | NULL | — |
| 207ZN0500X | Neuropathology Physician | — | — | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | — | NULL | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | — | — | — |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |
| 207ZP0104X | Chemical Pathology Physician | — | NULL | — |
| 207ZP0104X | Chemical Pathology Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 207ZP0213X | Pediatric Pathology Physician | — | NULL | — |
| 207ZP0213X | Pediatric Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 10/07/2008