Organization
UIC ASSISTIVE TECHNOLOGY UNIT
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
Assistive Technology Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
MR. GLENN E HEDMAN (DIRECTOR)
(312) 413-7784
Entity
Organization
Contact information
Practice address
1640 WEST ROOSEVELT ROAD, MC 726, CHICAGO, IL 60608
(312) 413-1555
(312) 413-3709
Mailing address
1640 WEST ROOSEVELT ROAD, MC 726, CHICAGO, IL 60608
(312) 413-1555
(312) 413-3709
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621076
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
10/05/2006
Last updated
07/22/2020
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