UNIVERSITY OF ILLINOIS AT CHICAGO (NPI# 1437407897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437407897 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ILLINOIS AT CHICAGO |
| Practice Address |
833 S Wood St Chicago IL 60612-7229 |
| Practice Telephone | 3123554081 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | JAY TRAN (CLINICAL PHARMACIST) |
| Authorized Official Telephone | 3123554081 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 051291932 | IL | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649522095 | University of Illinois At Chicago | General Acute Care Hospital | 1919 West Taylor - 650 Ahsb, Department of Kinesiology An, Chicago, IL 60612 | 2012-10-10 |
| 1851606339 | University of Illinois At Chicago | Public Health or Welfare | 835 S Wolcott Ave # Mc844, Chicago, IL 60612-3748 | 2010-08-09 |
| 1538338082 | University of Illinois At Chicago | Early Intervention Provider Agency | 1603 W Taylor St, M/c 923, Chicago, IL 60612-4310 | 2008-02-28 |
| 1689020943 | University of Illinois At Chicago | General Acute Care Hospital | 833 S Wood St, Suite 164 (mc 886), Chicago, IL 60612-7229 | 2016-05-05 |
| 1164894465 | University of Illinois At Chicago | General Acute Care Hospital | 835 S Wolcott Ave, E 270, Chicago, IL 60612-3748 | 2015-10-26 |
| 1881844074 | University of Illinois At Chicago | General Acute Care Hospital | 840 S Wood St, Mc 958, Chicago, IL 60612-4325 | 2008-09-24 |
| 1003071812 | University of Illinois At Chicago | General Acute Care Hospital | 912 S Wood St, Chicago, IL 60612-4300 | 2008-07-21 |
| 1245435361 | University of Illinois At Chicago | Pathology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2007-06-19 |
| Street Address |
833 S WOOD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447294012 | Annette N Pellegrino | Pharmacist | 833 S Wood St, M/c 886, Chicago, IL 60612-7229 | 2006-06-15 |
| 1255994182 | Jamie Micheletto | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2019-04-16 |
| 1417420308 | Enela Aliaj | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2019-01-03 |
| 1235628355 | Jovan Borjan | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2018-05-03 |
| 1326540915 | David Allan Butler | Pharmacist | 833 S Wood St, Room 164 (mc 886), Chicago, IL 60605 | 2018-02-28 |
| 1700384849 | Danielle Tompkins | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2018-01-23 |
| 1780132191 | Meghan Mccomb | Pharmacist | 833 S Wood St, 164 Pharm Mc 886, Chicago, IL 60612-7229 | 2016-09-14 |
| 1689020943 | University of Illinois At Chicago | General Acute Care Hospital | 833 S Wood St, Suite 164 (mc 886), Chicago, IL 60612-7229 | 2016-05-05 |
| 1588034698 | Kristin Progar | Pharmacist | 833 S Wood St, M/c 886, Chicago, IL 60612-7229 | 2015-10-01 |
| 1811376270 | Clarissa Michelle Sema | Pharmacist | 833 S Wood St, Chicago, IL 60612-7229 | 2015-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787155 | Iva Elliott | Exclusive Provider Organization | 4119 S Wabash Ave Apt 2, Chicago, IL 60653-2122 | 2017-05-12 |
| 1124579073 | Uptown Dui Services | Exclusive Provider Organization | 1525 E 53rd St Ste 411, Chicago, IL 60615-4530 | 2016-10-16 |
| 1811272248 | The Glocoms Group Inc | Exclusive Provider Organization | 40 E Chicago Ave # 200, Chicago, IL 60611-2026 | 2011-10-17 |
| 1396900106 | Greater Chicago Medical Association, Inc | Exclusive Provider Organization | 4108 N Lincoln Ave, Chicago, IL 60618-3028 | 2008-07-21 |
| 1235329749 | Alicia Stovell, M.d. PC | Exclusive Provider Organization | 8741 S Greenwood Ave Ste 101, Chicago, IL 60619-7058 | 2007-07-31 |
| 1558728519 | Lawrence House | Exclusive Provider Organization | 1001 W Lawrence Ave, Chicago, IL 60640-5017 | 2016-01-21 |
| 1891172532 | Healthengine, LLC | Exclusive Provider Organization | 116 W Hubbard St, #7s, Chicago, IL 60654-8542 | 2015-05-01 |
| 1477960979 | Greater Chicago Medical Association Inc | Exclusive Provider Organization | 6160 N Cicero Ave, Suite 216, Chicago, IL 60646-4312 | 2014-07-16 |
| 1699198929 | Rifai M.d.,s.c. | Exclusive Provider Organization | 4708 N Kedzie Ave, Chicago, IL 60625-4421 | 2014-01-22 |
| 1063834232 | Quality Medical Inc | Exclusive Provider Organization | 4708 N Kedzie Ave, Chicago, IL 60625-4421 | 2014-01-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.