MEDICARE: 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	0003897	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801337506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF CHICAGO MEDICAL CENTER

Provider Business Mailing Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC1033
City	:	CHICAGO
State	:	IL
Zip	:	60637-1447
Country	:	US
Telephone Number	:	773-702-5486
Fax Number	:	773-834-3673

Provider Business Practice Location Address
First Line	:	1122 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0011
Country	:	US
Telephone Number	:	773-702-6664
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR MANAGED CARE
Name	:	BELINDA SCHULTZ
Credential	:	MHA
Telephone Number	:	773-702-5486

Provider Enumeration Date	:	03/14/2017
Last Update Date	:	03/14/2017

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Directions to “UNIVERSITY OF CHICAGO MEDICAL CENTER ” Practice Location

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