MEDICARE: THE UNIVERSITY OF CHICAGO MEDICAL CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	1677288	IL

General Provider Information

NPI Number	:	1003995671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE UNIVERSITY OF CHICAGO MEDICAL CENTERS

Provider Business Mailing Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC 1068
City	:	CHICAGO
State	:	IL
Zip	:	60637-1447
Country	:	US
Telephone Number	:	773-702-9786
Fax Number	:	773-702-8608

Provider Business Practice Location Address
First Line	:	8725 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2709
Country	:	US
Telephone Number	:	773-702-1200
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR, PATIENT ACCTS.
Name	:	MR. GREG TUCHOWSKI
Credential	:
Telephone Number	:	773-702-6553

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	05/30/2008

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