University of Illinois

NPI #1316132764 in Chicago, Illinois

Provider Information

NPI Number: 1316132764
Entity Type: Organization
Organization Name: University of Illinois
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 1740 W TAYLOR ST
City: Chicago
State: Illinois
ZIP Code: 60612-7232
Phone: (312) 413-8687

Authorized Official

Name: FRED ZAR, MD
Title: RESIDENCY DIRECTOR
Phone: (312) 996-7836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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