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Organization

BOARD OF TRUSTEES FO THE UNIVERSITY OF ILLINOIS

Active
Other names
UIC Craniofacial Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC WILLIAM DEVAR (CHIEF OPERATING OFFICER)
(312) 376-1607
Entity
Organization

Contact information

Practice address
811 S PAULINA ST # MC588, CHICAGO, IL 60612-4353
(312) 996-7546
Mailing address
7732 SOLUTION CENTER, CHICAGO, IL 60677-0001

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
05/08/2013
Last updated
01/20/2022
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