Organization
UNIVERSITY OF ILLINOIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINNAMMA M CHRETIEN APN (SURGICAL COORDINATOR)
(312) 355-5562
Entity
Organization
Contact information
Practice address
840 S WOOD ST, MAIL CODE 958, ROOM 435 E, CHICAGO, IL 60612-4325
(312) 355-5562
Mailing address
840 S. WOOD STREET,, MAIL CODE 958, ROOM 435 E, CHCIACO, IL 60612
(312) 355-5562
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209006118
IL
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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