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Organization

THE UNIVERSITY OF CHICAGO MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE ELLIS (DIRECTOR, REVENUE INTEGRITY)
(773) 702-6890
Entity
Organization

Contact information

Practice address
5841 S. MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1530
(773) 702-8608
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1677288
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
401
BLUE CROSS
IL
01
5030177
UNITED HEALTHCARE
IL
01
6250575
AETNA
IL
01
6253815
AETNA
IL
Enumeration date
10/13/2006
Last updated
03/18/2026
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