UNIV. OF ILLINOIS AT CHICAGO (NPI# 1336399583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336399583 |
| Entity Type | Organization |
| Organization Name | UNIV. OF ILLINOIS AT CHICAGO |
| Other Organization Name | NONE |
| Practice Address |
851 S Morgan St Seo, Mc 063, Room 218 Chicago IL 60607-7042 |
| Mailing Address |
509 Aurora Ave 305 Naperville IL 60540-6221 |
| Practice Telephone | 3129962335 |
| Practice Fax Number | 3129965921 |
| Mailing Telephone | 6305270735 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | PROF. PERCIVAL DAVIS MCCORMACK (PROFESSOR OF BIOENGINEERING) |
| Authorized Official Telephone | 3129962335 |
| Authorized Official Credential | M.D.,PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | D0030401 | MD | Laboratories |
| Other Name | Type Code |
|---|---|
| None | Other Name - Individual/Organization |
| Street Address |
851 S MORGAN ST SEO, MC 063, ROOM 218 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780826230 | Division Mri, Inc. | Physiological Laboratory | 2618 W Division St, Chicago, IL 60622-7107 | 2009-03-30 |
| 1679522643 | Insight Health Corp | Physiological Laboratory | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587852 | Express Medical Labs LLC | Physiological Laboratory | 9830 Ridgeland Ave Ste 115, Chicago Ridge, IL 60415-2667 | 2020-10-28 |
| 1538532874 | Braincare, LLC | Physiological Laboratory | 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 | 2015-11-09 |
| 1174901920 | Midwest Diagnostics Incorporated | Physiological Laboratory | 1555 S Redwood Dr, Mt Prospect, IL 60056-4906 | 2015-05-13 |
| 1023406477 | Physician Imaging Solutions Inc | Physiological Laboratory | 24012 W Lockport St, Suite 2e, Plainfield, IL 60544-2280 | 2015-01-07 |
| 1356752620 | Primera Healthcare Solutions, Inc. | Physiological Laboratory | 3340 Dundee Rd Ste 2c4, Northbrook, IL 60062-2331 | 2014-05-08 |
| 1053619742 | Valley Regional Health Services L3c | Physiological Laboratory | 4391 Venture Dr, Peru, IL 61354-1014 | 2011-03-04 |
| 1710130539 | Irhythm Technologies, Inc. | Physiological Laboratory | 2 Marriott Dr, Lincolnshire, IL 60069-3700 | 2008-10-23 |
| 1407043581 | Effingham Sleep Center, Inc | Physiological Laboratory | 2313 Hoffman Dr, Effingham, IL 62401-2839 | 2007-10-02 |
| 1003969841 | Medco Diagnostic Imaging Inc | Physiological Laboratory | 900 E Diehl Road, Suite 141, Naperville, IL 60563-2391 | 2007-01-18 |
| 1558440768 | Snap Laboratories International, LLC | Physiological Laboratory | 5210 Capitol Dr, Wheeling, IL 60090-7901 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.