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
1	282N00000X	General Acute Care Hospital	1677288	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5030177	OTHER	IL	UNITED HEALTHCARE
2	6253815	OTHER	IL	AETNA
3	401	OTHER	IL	BLUE CROSS
4	6250575	OTHER	IL	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508956509
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 S. MARYLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-1447
Country	:	US
Telephone Number	:	773-702-1530
Fax Number	:	773-702-8608

Authorized Official
Title or Position	:	DIRECTOR, REVENUE INTEGRITY
Name	:	STEPHANIE ELLIS
Credential	:
Telephone Number	:	773-702-6890

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	03/18/2026

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

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