Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Occupational Health Service Institute (OHSI)
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A BAKSTON MD, MPH, MBA (INTERIM DIRECTOR)
(312) 355-3554
Entity
Organization
Contact information
Practice address
835 S. WOLCOTT, SUITE E-144; MC 684, CHICAGO, IL 60612
(312) 996-7420
(312) 413-8485
Mailing address
7732 SOLUTIONS CENTER, CHICAGO, IL 60677-7007
(312) 413-0369
(312) 413-8485
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/05/2018
Last updated
07/11/2023
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