Organization
UNIV. OF ILLINOIS AT CHICAGO
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. PERCIVAL DAVIS MCCORMACK M.D.,PH.D. (PROFESSOR OF BIOENGINEERING)
(312) 996-2335
Entity
Organization
Contact information
Practice address
851 S MORGAN ST, SEO, MC 063, ROOM 218, CHICAGO, IL 60607-7042
(312) 996-2335
(312) 996-5921
Mailing address
509 AURORA AVE, 305, NAPERVILLE, IL 60540-6221
(630) 527-0735
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
D0030401
MD
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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