Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
UIC Hospital Programs
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 355-6468
Entity
Organization
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 355-1000
Mailing address
7732 SOLUTIONS CENTER, CHICAGO, IL 60677-7007
(312) 355-6468
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
Other
Enumeration date
01/19/2021
Last updated
02/04/2021
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