University of Illinois

NPI #1356543102 in Chicago, Illinois

Provider Information

NPI Number: 1356543102
Entity Type: Organization
Organization Name: University of Illinois
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1740 W TAYLOR ST
City: Chicago
State: Illinois
ZIP Code: 60612-7232
Phone: (866) 600-2273

Authorized Official

Name: SONNY GARCHA, M.D.
Title: ANESTHESIA RESIDENT
Phone: (312) 375-2535

Specialties & Taxonomy Codes

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

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