Organization
UNIVERSITY OF CHICAGO MEDICAL CENTER
Active
Organization
UNIVERSITY OF CHICAGO MEDICAL CENTER
Active
Parent organization
UNIVERSITY OF CHICAGO MEDICAL CENTER
Other names
University of Chicago Medical Center Infusion Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CHICAGO MEDICAL CENTER
Authorized official
NICOLE LYNN FOUNTAIN (VP REVENUE CYCLE)
(773) 834-5895
Entity
Organization
Contact information
Practice address
355 E GRAND AVE STE 2800, CHICAGO, IL 60611-5389
(773) 834-5588
(312) 654-5288
Mailing address
355 E GRAND AVE STE 2800, CHICAGO, IL 60611-5389
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/11/2020
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