UNIVERSITY OF ILLINOIS AT CHICAGO (NPI# 1649522095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649522095 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ILLINOIS AT CHICAGO |
| Practice Address |
1919 West Taylor - 650 Ahsb Department of Kinesiology An Chicago IL 60612 |
| Mailing Address |
34 Marengo Ave Unit A Forest Park IL 60130-1107 |
| Practice Telephone | 7085070154 |
| Mailing Telephone | 7084889045 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | MS. JULIE ANN ROBICHAUD (SPECIAIST IN PT) |
| Authorized Official Telephone | 3123559600 |
| Authorized Official Credential | PT, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 070.010259 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1437407897 | University of Illinois At Chicago | Exclusive Provider Organization | 833 S Wood St, Chicago, IL 60612-7229 | 2012-08-16 |
| 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 |
1919 WEST TAYLOR - 650 AHSB DEPARTMENT OF KINESIOLOGY AN |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| 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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| 1144694639 | Danielle Marie Valentino | General Acute Care Hospital | 5841 S Maryland Ave # Mc6065, Chicago, IL 60637-1443 | 2015-11-20 |
| 1467830745 | Mcgaw Medical Center of Nu | General Acute Care Hospital | 737 N Michigan Ave, Ste 1600 Nmh, Cardiovascular Imaging, Chicago, IL 60611 | 2015-05-07 |
| 1467846022 | Andres Maldonad | General Acute Care Hospital | 6019 S Ingleside Ave, Apartment 902, Chicago, IL 60637-2600 | 2015-03-22 |
| 1093117921 | Sj Termini, Dds PC | General Acute Care Hospital | 1074 W Taylor St # 207, Chicago, IL 60607-4336 | 2014-09-23 |
| 1982014841 | None | General Acute Care Hospital | 2323 W 114th St, Chicago, IL 60643-4108 | 2014-04-30 |
| 1770905804 | Esad Zisko | General Acute Care Hospital | 2441 W Farragut Ave Apt 3b, Chicago, IL 60625-2477 | 2014-01-08 |
| Find all providers in CHICAGO | ||||
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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.