Organization
UNIVERSITY OF ILLINOIS AT CHICAGO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIR RINGQUIST (DIRECTOR)
(312) 996-3700
Entity
Organization
Contact information
Practice address
1801 W TAYLOR ST, SUITE 2C, CHICAGO, IL 60612-4795
(312) 355-4394
Mailing address
1801 W TAYLOR ST, SUITE 2C, CHICAGO, IL 60612-4795
(312) 355-4394
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070009832
IL
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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