University of Illinois Department of Pediatrics

NPI #1336599463 in Chicago, Illinois

Provider Information

NPI Number: 1336599463
Entity Type: Organization
Organization Name: University of Illinois Department of Pediatrics
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF ILLINOIS
Primary Specialty: Clinic/Center - Genetics
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 1801 W TAYLOR ST
Address 2: STE. 2E
City: Chicago
State: Illinois
ZIP Code: 60612-4795
Phone: (312) 355-0732

Authorized Official

Name: MARIA-RENEE PLONA, M.S.
Title: GENETIC COUNSELOR
Phone: (312) 355-0732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Genetics — Genetics	261QG0250X	Primary

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