Organization
UNIVERSITY OF CHICAGO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN THOMAS M.D. (PROGRAM DIRECTOR)
(773) 702-3550
Entity
Organization
Contact information
Practice address
5841 S MARYLAND AVE, MC 2026, CHICAGO, IL 60637-1447
(773) 702-3550
Mailing address
100 E 14TH ST, UNIT 1604, CHICAGO, IL 60605-2889
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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