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Organization

UNIVERSITY OF ILLINOIS AT CHICAGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA VERONICA GORODNER MD (FELLOW IN MINIMALLY INVASIVE SURGER)
(312) 355-1493
Entity
Organization

Contact information

Practice address
840 S WOOD ST, MC 958, CHICAGO, IL 60612-4325
(312) 355-1493
Mailing address
840 S WOOD ST, MC 958, CHICAGO, IL 60612-4325
(312) 355-1493

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
09/24/2008
Last updated
09/24/2008
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