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THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Physicians Otolaryngology Pediatric Otolaryngology

Provider NPI: 1548480957

Organization Information:
Organization Name:  THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Organization is not Subpart
Authorized Official:  VICTORIA  LEVITSKE  DIRECTOR OF FINANCE  312-996-0566

Practice Location:
1855 W TAYLOR ST  CHICAGO, IL 60612-7243 US
Tel: 312-996-6582  Fax: --

Business Mailing Address:
135 S LASALLE ST DEPT 3458 CHICAGO, IL 60674-3458 US
Tel: --  Fax: --

NPI Information:
NPI: 1548480957
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207YP0228XPhysicians
Otolaryngology
Pediatric Otolaryngology
N207YS0012XPhysicians
Otolaryngology
N207YS0123XPhysicians
Otolaryngology
N207YX0007XPhysicians
Otolaryngology
N207YX0602XPhysicians
Otolaryngology
N207YX0901XPhysicians
Otolaryngology
N207YX0905XPhysicians
Otolaryngology
Y207Y00000XPhysicians
Otolaryngology

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD GROUPC30838IL01
BCBS GROUP01618648ID01



American Medical Association 2012 taxonomy code information

Code: 207Y00000X

Type:

Classification:



Definition:



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