Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Dept of Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 413-1350
Entity
Organization
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-7322
(312) 996-9300
Mailing address
7732 SOLUTION CENTER, CHICAGO, IL 60677-0001
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
204F00000X
Transplant Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618613
BCBS GROUP
IL
01
—
CA8300
RAILROAD GROUP
IL
Enumeration date
04/25/2007
Last updated
05/18/2022
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