Organization
UNIVERSITY OF ILLINOIS AT CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TRAN PHARMD (CLINICAL PHARMACIST)
(312) 355-4081
Entity
Organization
Contact information
Practice address
833 S WOOD ST, CHICAGO, IL 60612-7229
(312) 355-4081
Mailing address
833 S WOOD ST, CHICAGO, IL 60612-7229
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
051291932
IL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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