Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
UIC Pathology Clinical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PREYAL ANKIT PATEL (DIRECTOR OF ADMINISTRATIVE OPERATIO)
(312) 996-2135
Entity
Organization
Contact information
Practice address
1740 W. TAYLOR STREET, CHICAGO, IL 60612
(312) 996-7312
(312) 996-7586
Mailing address
2723 SOLUTION CENTER, CHICAGO, IL 60677
(312) 996-7312
(312) 996-7586
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
05/09/2017
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