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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 Dermatology 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
1801 W TAYLOR ST, SUITE 3E, CHICAGO, IL 60612-4319
(312) 996-8675
(312) 355-2888
Mailing address
840 S WOOD ST, SUITE 345 CSB, MC 884, CHICAGO, IL 60612-4325
(312) 996-2812
(312) 355-1916

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
93013079
IL

Other

Enumeration date
02/26/2007
Last updated
01/29/2013
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