Organization
UNIVERSITY OF ILLINOIS AT CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOUJIN WU (FACULTY)
(312) 502-3004
Entity
Organization
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7312
Mailing address
504 W 64TH ST, WILLOWBROOK, IL 60527-5304
(312) 502-3004
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036087484
IL
Other
Enumeration date
06/19/2007
Last updated
06/04/2013
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