Organization
UNIVERSITY OF ILLINOIS DEPARTMENT OF PEDIATRICS
Active
Parent organization
UNIVERSITY OF ILLINOIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ILLINOIS
Authorized official
MARIA-RENEE PLONA M.S. (GENETIC COUNSELOR)
(312) 355-0732
Entity
Organization
Contact information
Practice address
1801 W TAYLOR ST, STE. 2E, CHICAGO, IL 60612-4795
(312) 355-0732
(312) 355-0739
Mailing address
840 S WOOD ST, 12TH FLOOR MC 856, CHICAGO, IL 60612-4325
(312) 355-0732
(312) 355-0739
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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