UIC COLLEGE OF DENTISTRY ORAL PATHOLOGY BIOPSY SERVICE (NPI# 1972755320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972755320 |
| Entity Type | Organization |
| Organization Name | UIC COLLEGE OF DENTISTRY ORAL PATHOLOGY BIOPSY SERVICE |
| Practice Address |
801 S Paulina St Room 525a (m/c 838) Chicago IL 60612-7210 |
| Practice Telephone | 3129963633 |
| Practice Fax Number | 3129969226 |
| Mailing Telephone | 3129963633 |
| Mailing Fax Number | 3129969226 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | SARA C GORDON (DIRECTOR) |
| Authorized Official Telephone | 3129961104 |
| Authorized Official Credential | DDS MSC FRCDC |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF ILLINOIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 14D0646690 | IL | Laboratories |
| Street Address |
801 S PAULINA ST ROOM 525A (M/C 838) |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018841 | Carlotta Ann Evans | Dentist | 801 S Paulina St, Mc 841, Chicago, IL 60612-7210 | 2005-10-25 |
| 1215537113 | Jose A Villanueva Iv | Student in an Organized Health Care Education/Training Program | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-29 |
| 1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
| 1558969527 | Maysaa Oubaidin | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-13 |
| 1639789936 | Jacqueline M Wisinski | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-08-03 |
| 1740898709 | Alexandria Rozgony | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-16 |
| 1679191928 | Milica Novakovic | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
| 1972121234 | Philip William Cannizzaro | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
| 1144847740 | Nada Abdallah | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-06-30 |
| 1356964480 | Pheba Marin Abraham | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-05-23 |
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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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1992299119 | Lumi Diagnostics LLC | Clinical Medical Laboratory | 2222 W Division St Ste 220, Chicago, IL 60622-3094 | 2018-06-20 |
| 1821526328 | Abc Labs | Clinical Medical Laboratory | 6449 S Pulaski Rd Ste 108, Chicago, IL 60629-5148 | 2017-05-27 |
| 1780132068 | Trisys Medical Group | Clinical Medical Laboratory | 900 N Franklin St Ste 407, Chicago, IL 60610-3168 | 2016-09-15 |
| 1699222000 | Acculab Medical Testing Inc | Clinical Medical Laboratory | 2600 S Michigan Ave Ste 212, Chicago, IL 60616-2859 | 2016-09-01 |
| 1740733708 | Tempus Labs Inc. | Clinical Medical Laboratory | 600 W Chicago Ave Ste 510, Chicago, IL 60654 | 2016-07-26 |
| 1073978631 | Southshore Medi Lab Inc | Clinical Medical Laboratory | 4651 W 79th St Ste 204, Chicago, IL 60652-1775 | 2015-12-28 |
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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.