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Organization

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Active
Other names
Dept of Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 413-1350
Entity
Organization

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7238
(312) 413-4900
Mailing address
7732 SOLUTION CENTER, CHICAGO, IL 60677-3455

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
2085N0700X
Neuroradiology Physician
2085N0904X
Nuclear Radiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0001X
Radiation Oncology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0203X
Therapeutic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
2085R0205X
Radiological Physics Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618785
BCBS GROUP
IL
01
CA5102
RAILROAD
IL
Enumeration date
04/24/2007
Last updated
05/18/2022
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