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NPI Code Detail

MEDICARE: UNIVERSITY OF CHICAGO HOSPITALS

MEDICARE: UNIVERSITY OF CHICAGO HOSPITALS
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
1333600000XPharmacyIL

General Provider Information

NPI Number : 1710973185
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF CHICAGO HOSPITALS
Provider Business Mailing Address
First Line : 5758 S MARYLAND AVE
Second Line : MC0010
City : CHICAGO
State : IL
Zip : 60637-1426
Country : US
Telephone Number : 773-834-7007
Fax Number : 773-834-7005
Provider Business Practice Location Address
First Line : 5758 S MARYLAND AVE
Second Line : MC0010
City : CHICAGO
State : IL
Zip : 60637-1426
Country : US
Telephone Number : 773-834-7007
Fax Number : 773-834-7005
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : GREGORY GRABAVOY
Credential : PHARMD
Telephone Number : 773-702-6242
Provider Enumeration Date : 09/21/2005
Last Update Date : 08/22/2020

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Directions to “UNIVERSITY OF CHICAGO HOSPITALS ” Practice Location

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