Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
UIMC Reference Lab Professional Group
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, CHIEF FINANCIAL OFF)
(312) 996-8800
Entity
Organization
Contact information
Practice address
840 S WOOD ST, ROOM 170 (MC 750), CHICAGO, IL 60612-4325
(312) 355-5800
(312) 996-8261
Mailing address
840 S WOOD ST, ROOM 170 (MC 750), CHICAGO, IL 60612-4325
(312) 355-5800
(312) 996-8261
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0006X
Clinical Pathology Physician
Primary
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZF0201X
Forensic Pathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZM0300X
Medical Microbiology Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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