Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
University of Illinois Wood Street/PCC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
WALTER K KNORR (VICE PRESIDENT, CFO, COMPTROLLER)
(312) 996-8800
Entity
Organization
Contact information
Practice address
840 S WOOD ST, ROOM 163, CHICAGO, IL 60612-4325
(312) 996-6887
(312) 355-1916
Mailing address
840 S WOOD ST, SUITE 345 CSB, MC 884, CHICAGO, IL 60612-4325
(312) 355-2035
(312) 355-1916
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
93007836
IL
Other
Enumeration date
02/23/2007
Last updated
01/25/2017
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