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Organization

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICTORIA LEVITSKE (DIRECTOR OF FINANCE)
(312) 996-0566
Entity
Organization

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
7732 SOLUTION CTR, CHICAGO, IL 60677-7007

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
208M00000X
Hospitalist Physician

Other

Enumeration date
04/05/2016
Last updated
04/05/2016
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