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General NPI Number Information
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NPI Number | 1417265612
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CHICAGO
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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Country | US
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Telephone | 773-702-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 S STATE ST APT 1412
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City | CHICAGO
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State | IL
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Zip | 60605-3623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRORAM DIRECTOR
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Name | JAMES WOODRUFF
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Credential | M.D.
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Telephone | 773-702-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number |
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License Number State | IL
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