Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
UIC Dept of Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 413-1350
Entity
Organization
Contact information
Practice address
808 S WOOD ST, CHICAGO, IL 60612-7300
(312) 996-6966
Mailing address
7732 SOLUTION CENTER, CHICAGO, IL 60677-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618685
BCBS GROUP
IL
01
—
CG9096
RAILROAD GROUP
IL
Enumeration date
04/25/2007
Last updated
05/18/2022
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