Organization
UNIVERSITY OF ILLINOIS AT CHICAGO
Active
Organization
UNIVERSITY OF ILLINOIS AT CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE OUELLET PH.D. (EXECUTIVE DIRECTOR, COIP)
(312) 355-0145
Entity
Organization
Contact information
Practice address
1603 W TAYLOR ST, M/C 923, CHICAGO, IL 60612-4310
(312) 413-3210
(312) 996-1450
Mailing address
1603 W. TAYLOR ST., M/C 923, CHICAGO, IL 60612-4310
(312) 996-1450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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