UIC CLINIC NPI 1679993471

NPI Information

UIC CLINIC is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. UIC CLINIC NPI is 1679993471. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2605 S INDIANA AVE UNIT 606
CHICAGO, IL
ZIP 60616-865
Phone: (312) 504-7972

The provider's authorized official is Scott Pinkerton .
The authorized official title is Customer Service Specialist and has the following contact phone number (217) 333-2180.

The enumeration date for this NPI number is 4/18/2014 and was last updated on 4/18/2014.

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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