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UNIVERSITY OF ILLINOIS AT CHICAGO DEPT OF PROSTHODONITCS NPI 1952767808


NPI Information

NPI: 1952767808
Provider Name: UNIVERSITY OF ILLINOIS AT CHICAGO, DEPT OF PROSTHODONITCS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
801 S PAULINA ST
RM 361 DENT
CHICAGO, IL
ZIP 60612
Phone: (312) 355-0301
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UNIVERSITY OF ILLINOIS AT CHICAGO, DEPT OF PROSTHODONITCS is a dental clinic center in Chicago, IL. UNIVERSITY OF ILLINOIS AT CHICAGO, DEPT OF PROSTHODONITCS NPI is 1952767808. The provider is registered as an organization entity type.

The provider's business location address is:

801 S PAULINA ST
RM 361 DENT
CHICAGO, IL
ZIP 60612-210
Phone: (312) 355-0301

The provider's authorized official is Stephanie Clarke .
The authorized official title is Clinic Director and has the following contact phone number (312) 996-3535.

The enumeration date for this NPI number is 1/7/2016 and was last updated on 1/7/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental019.029461ILLINOISYes

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: 11/14/2023

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