Organization
UNIVERSITY OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZORAYA VELAZQUEZ (CREDENTIALING COORDINATOR)
(773) 834-1061
Entity
Organization
Contact information
Practice address
5841 S MARYLAND AVE # MC3077, CHICAGO, IL 60637-1447
(773) 702-6751
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 834-1061
(773) 834-0946
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036051478
IL
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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