Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Dept of Orthopaedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KAILAS SANGHANI (DIRECTOR OF FINANCE)
(312) 413-1350
Entity
Organization
Contact information
Practice address
835 S WOLCOTT ST, CHICAGO, IL 60612-7342
(312) 996-7161
Mailing address
7732 SOLUTION CENTER, CHICAGO, IL 60677-0001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
213E00000X
Podiatrist
—
—
213EP0504X
Public Medicine Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618846
BCBS GROUP
IL
01
—
CF8973
RAILROAD GROUP
IL
Enumeration date
04/23/2007
Last updated
04/03/2024
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