THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1659501500

NPI Information

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a customized equipment durable medical equipment medical supplies in Chicago, IL. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1659501500. The provider is registered as an organization entity type.
The provider Is Doing Business As Uic Maxillofacial Prosthetics Clinic.

The provider's business location address is:

811 S PAULINA ST
118 DENT, MC 588
CHICAGO, IL
ZIP 60612-353
Phone: (312) 996-6933
Fax: (312) 355-4173

The provider's authorized official is Laurence Appel .
The authorized official title is Chief Financial Officer and has the following contact phone number (312) 996-3620.

The enumeration date for this NPI number is 7/24/2009 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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