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BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1881821445


NPI Information

NPI: 1881821445
Provider Name: BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Doing Business As: DEPT OF SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
840 S WOOD ST
MC 958
CHICAGO, IL
ZIP 60612
Phone: (312) 996-9336
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BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a surgery in Chicago, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1881821445. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dept Of Surgery.

The provider's business location address is:

840 S WOOD ST
MC 958
CHICAGO, IL
ZIP 60612-325
Phone: (312) 996-9336

The provider's authorized official is William R. Nicholas .
The authorized official title is Executive Director and has the following contact phone number (312) 413-1350.

The enumeration date for this NPI number is 6/22/2009 and was last updated on 6/22/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryNo
2204F00000XTransplant SurgeryNo
3208200000XPlastic SurgeryNo
42082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
52082S0105XPlastic SurgerySurgery of the HandNo
62086S0102XSurgerySurgical Critical CareNo
72086S0105XSurgerySurgery of the HandNo
82086S0120XSurgeryPediatric SurgeryNo
92086S0122XSurgeryPlastic and Reconstructive SurgeryNo
102086S0127XSurgeryTrauma SurgeryNo
112086S0129XSurgeryVascular SurgeryNo
122086S0129XSurgeryVascular SurgeryILLINOISNo
13208C00000XColon & Rectal SurgeryNo
14208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
15208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1932760OTHERILLINOISMEDICARE GROUP
2004OTHERILLINOISTRICARE GROUP
3CA8300OTHERILLINOISRAILROAD GROUP
401618613OTHERILLINOISBCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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