UNIVERSITY OF ILLINOIS DEPARTMENT OF PEDIATRICS NPI 1336599463

NPI Information

UNIVERSITY OF ILLINOIS DEPARTMENT OF PEDIATRICS is a genetics clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. UNIVERSITY OF ILLINOIS DEPARTMENT OF PEDIATRICS NPI is 1336599463. The provider is registered as an organization entity type.

The provider's business location address is:

1801 W TAYLOR ST
STE. 2E
CHICAGO, IL
ZIP 60612-795
Phone: (312) 355-0732
Fax: (312) 355-0739

The provider's authorized official is Maria-renee Plona .
The authorized official title is Genetic Counselor and has the following contact phone number (312) 355-0732.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 6/20/2016.

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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