DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

MEDICARE: BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
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
13336C0002XClinic Pharmacy054.017116IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1054017116OTHERILSTATE LICENSE NUMBER
21453428OTHERILNCPDP NUMBER
3032-005923OTHERILSTATE CONTROLLED SUBSTANC

General Provider Information

NPI Number : 1669512323
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Provider Business Mailing Address
First Line : 840 S WOOD ST
Second Line : ROOM 345H MC 884
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-355-2035
Fax Number : 312-355-1916
Provider Business Practice Location Address
First Line : 840 S WOOD ST
Second Line : ROOM 163 MC 884
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-996-6887
Fax Number : 312-355-1916
Authorized Official
Title or Position : PHARMACY TECHNICIAN SPECIALIST
Name : MS. KRISTINE D VANKUIKEN
Credential :
Telephone Number : 312-355-2035
Provider Enumeration Date : 02/08/2007
Last Update Date : 03/07/2023

Similar Medicare Providers

1386347789 — MAJD BASSAM ABOONA MD
Practice Location Address:
820 S WOOD ST STE 100
CHICAGO, IL
60612-4325
Practice Phone: 312-996-2933
Practice Fax:
1841837465 — INSIA ZUFER
Practice Location Address:
820 S WOOD ST STE 100
CHICAGO, IL
60612-4325
Practice Phone: 312-996-2933
Practice Fax:
1457180069 — PEDRO GARCIA MD
Practice Location Address:
820 S WOOD ST STE 100
CHICAGO, IL
60612-4325
Practice Phone: 312-996-2933
Practice Fax:
1023942653 — SONYA CHHABRA DO
Practice Location Address:
820 S WOOD ST STE 100
CHICAGO, IL
60612-4325
Practice Phone: 312-996-2933
Practice Fax:
1871176495 — DR. JUSTIN SINGH VIRK MD
Practice Location Address:
820 S WOOD ST STE 100
CHICAGO, IL
60612-4325
Practice Phone: 312-996-2933
Practice Fax:
1407546138 — RYAN RAN YANG MD
Practice Location Address:
840 S WOOD ST STE 920
CHICAGO, IL
60612-4325
Practice Phone: 312-996-9086
Practice Fax: 312-413-2948
1508514183 — ARNAV KUMAR SINGLA
Practice Location Address:
840 S WOOD ST STE 920S
CHICAGO, IL
60612-4325
Practice Phone: 312-996-6730
Practice Fax:

Directions to “BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.