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NPI Code Detail

MEDICARE: THE UNIVERSITY OF CHICAGO MEDICAL CENTER

MEDICARE: THE UNIVERSITY OF CHICAGO MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital1677288IL

General Provider Information

NPI Number : 1083873608
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number : 630-667-5073
Fax Number : 773-702-0148
Provider Business Practice Location Address
First Line : 1531 E HYDE PARK BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60615-3039
Country : US
Telephone Number : 773-702-1200
Fax Number :
Authorized Official
Title or Position : DIRECTOR, REVENUE INTEGRITY
Name : STEPHANIE ELLIS
Credential :
Telephone Number : 773-702-6890
Provider Enumeration Date : 06/09/2008
Last Update Date : 03/31/2022

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Directions to “THE UNIVERSITY OF CHICAGO MEDICAL CENTER ” Practice Location

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