THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS


Address: 1855 W Taylor St, Chicago, IL 60612-7243
Phone: 3129966582

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1548480957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548480957
Entity Type Organization
Organization Name THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Organization Name DEPT OF OTOLARYNGOLOGY
Practice Address 1855 W Taylor St
Chicago
IL 60612-7243
Mailing Address 135 S Lasalle St
Dept 3458
Chicago
IL 60674-3458
Practice Telephone 3129966582
Enumeration Date 2007-04-26
Last Update Date 2013-05-17
Authorized Official Name MS. VICTORIA LEVITSKE (DIRECTOR OF FINANCE)
Authorized Official Telephone 3129960566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
Allopathic & Osteopathic Physicians
N 207YS0012X Otolaryngology
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians
N 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
Allopathic & Osteopathic Physicians
N 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
Allopathic & Osteopathic Physicians
N 207YX0602X Otolaryngology
Specialization: Otolaryngic Allergy
Allopathic & Osteopathic Physicians
N 207YX0901X Otolaryngology
Specialization: Otology & Neurotology
Allopathic & Osteopathic Physicians
N 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
Allopathic & Osteopathic Physicians
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD GROUP C30838 01
ID BCBS GROUP 01618648 01

Other Provider/Organization Names

Other Name Type Code
Dept of Otolaryngology Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
1043727571 The Board of Trustees of The University of Illinois Clinic/Center 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 2018-01-05
1871905190 The Board of Trustees of The University of Illinois Clinic/Center 840 Blackhawk Blvd, South Beloit, IL 61080-2263 2014-05-21
1841614609 The Board of Trustees of The University of Illinois Clinic/Center 3240 W Division St, Chicago, IL 60651-2405 2014-02-13
1932450160 The Board of Trustees of The University of Illinois Clinic/Center 3050 W 39th Pl, Chicago, IL 60632-2402 2012-09-27
1346596327 The Board of Trustees of The University of Illinois Clinic/Center 641 W. 63rd St, Uih-mile Square Health Center At Englewood, Chicago, IL 60621-2032 2012-07-27
1407166671 The Board of Trustees of The University of Illinois Clinic/Center 4747-51 West Cermak Rd, Uih-mile Square Health Center At Cicero, Cicero, IL 60804-2508 2010-10-20
1659501500 The Board of Trustees of The University of Illinois Durable Medical Equipment & Medical Supplies 811 S Paulina St, 118 Dent, Mc 588, Chicago, IL 60612-4353 2009-07-24
1518194364 The Board of Trustees of The University of Illinois Clinic/Center 1231 S Damen Ave, Chicago, IL 60608-1145 2009-06-19
1457523219 The Board of Trustees of The University of Illinois Clinic/Center 4630 South Bishop Street, Uih-mile Square Health Center At Back of The Yards, Chicago, IL 60609-3240 2008-04-01

Office Location

Street Address 1855 W TAYLOR ST
City CHICAGO
State IL
Zip Code 60612-7243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255329470 Ari B Rubenfeld Specialist 1855 W Taylor St, Rm 2.42, Chicago, IL 60612-7242 2005-10-11
1336768852 Luis Alejandro Acaba-berrocal Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2020-04-14
1780213025 Michael Thomas Massengill Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2020-04-08
1528697745 Tala Al-khaled Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2020-04-08
1841829009 Johnathan Jeffers Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2020-04-08
1558990846 Can Kocasarac Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2020-04-07
1184251134 Joshua Anthony Lee Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2020-03-26
1760041479 Abigail Ann Strauss Optometrist 1855 W Taylor St, Chicago, IL 60612-7242 2019-06-07
1699237420 Katherine Grace Chen Student in an Organized Health Care Education/Training Program 1855 W Taylor St, Chicago, IL 60612-7242 2019-04-01
1235694530 Benito Valdepenas IIi Pharmacist 1855 W Taylor St, Chicago, IL 60612-7242 2019-01-31
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265074934 Toriumi Facial Plastics Pllc Otolaryngology 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 2019-10-14
1285100529 Lauren E Lesniewski Otolaryngology 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 2018-10-14
1982100525 Muyinat Yewande Osoba Otolaryngology 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 2018-04-03
1366822009 Camil Correia Otolaryngology 675 N Saint Clair St Fl 15, Chicago, IL 60611-5975 2015-06-08
1093104523 Omotara Sulyman Otolaryngology 1855 W Taylor St Rm 242, Chicago, IL 60612-7242 2015-01-21
1497012694 Christopher Robert Roxbury Otolaryngology 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 2012-04-12
1174899066 Victoria S Lee Otolaryngology 1855 W Taylor St Ste 3, Chicago, IL 60612-7244 2012-03-26
1043508872 Glenda Lois Montague Otolaryngology 5814 S Maryland Ave, U of Chicago Ent Mc 1035 Room E-102 C/o Shanna Jones, Chicago, IL 60637-1462 2011-07-13
1467773960 Siva Kumar Elangovan Otolaryngology 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 2010-06-18
1598085383 Virginie Achim Otolaryngology 1855 W Taylor St Rm 2.42, Chicago, IL 60612-7242 2010-06-03
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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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