University of Illinois
NPI #1245203280 in Peoria, Illinois
Provider Information
- NPI Number
- 1245203280
- Entity Type
- Organization
- Organization Name
- University of Illinois
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- WILLIAM R NICHOLAS, PHD
- Title
- EXECUTIVE DIRECTOR OF MSP
- Phone
- (312) 413-0573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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