UIC NPI 1750735759

NPI Information

UIC 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 NPI is 1750735759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1740 W TAYLOR ST
CHICAGO, IL
ZIP 60612-232
Phone: (866) 600-2273

The provider's authorized official is Jasma Mcdonald .
The authorized official title is Pediatric Dental Residency and has the following contact phone number (256) 606-5080.

The enumeration date for this NPI number is 4/17/2016 and was last updated on 4/17/2016.

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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