THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1386863819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386863819 |
| Entity Type | Organization |
| Organization Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Other Organization Name | DEPT OF PATHOLOGY |
| Practice Address |
1819 W Polk St Chicago IL 60612-7335 |
| Mailing Address |
135 S Lasalle St Dept 3446 Chicago IL 60674-3446 |
| Practice Telephone | 3129967312 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | MS. VICTORIA LEVITSKE (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 3129960566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZH0000X |
Pathology Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZI0100X |
Pathology Specialization: Immunopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0104X |
Pathology Specialization: Chemical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GROUP | 01618842 | 01 |
| IL | RAILROAD GROUP | CG3893 | 01 |
| Other Name | Type Code |
|---|---|
| Dept of Pathology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1043727571 | The Board of Trustees of The University of Illinois | Clinic/Center | 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 | 2018-01-05 |
| 1871905190 | The Board of Trustees of The University of Illinois | Clinic/Center | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 | 2014-05-21 |
| 1841614609 | The Board of Trustees of The University of Illinois | Clinic/Center | 3240 W Division St, Chicago, IL 60651-2405 | 2014-02-13 |
| 1932450160 | The Board of Trustees of The University of Illinois | Clinic/Center | 3050 W 39th Pl, Chicago, IL 60632-2402 | 2012-09-27 |
| 1346596327 | The Board of Trustees of The University of Illinois | Clinic/Center | 641 W. 63rd St, Uih-mile Square Health Center At Englewood, Chicago, IL 60621-2032 | 2012-07-27 |
| 1407166671 | The Board of Trustees of The University of Illinois | Clinic/Center | 4747-51 West Cermak Rd, Uih-mile Square Health Center At Cicero, Cicero, IL 60804-2508 | 2010-10-20 |
| 1659501500 | The Board of Trustees of The University of Illinois | Durable Medical Equipment & Medical Supplies | 811 S Paulina St, 118 Dent, Mc 588, Chicago, IL 60612-4353 | 2009-07-24 |
| 1518194364 | The Board of Trustees of The University of Illinois | Clinic/Center | 1231 S Damen Ave, Chicago, IL 60608-1145 | 2009-06-19 |
| 1457523219 | The Board of Trustees of The University of Illinois | Clinic/Center | 4630 South Bishop Street, Uih-mile Square Health Center At Back of The Yards, Chicago, IL 60609-3240 | 2008-04-01 |
| Street Address |
1819 W POLK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104951250 | Dan Valentin Mihailescu | Internal Medicine | 1819 W Polk St, Section of Endocrinology (mc 640), Chicago, IL 60612-4356 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003270588 | Katrina Krogh | Pathology | 251 E Huron St Ste 7-132i, Chicago, IL 60611-2908 | 2016-04-11 |
| 1568858934 | Haoliang Xu | Pathology | 251 E Huron St Ste 7-332, Chicago, IL 60611-2908 | 2015-04-12 |
| 1821403569 | Elisheva Douglas Shanes | Pathology | 710 N Fairbanks Ct Ste 2-461, Chicago, IL 60611 | 2014-06-20 |
| 1295154052 | Jeffery Adam Goldstein | Pathology | 303 East Chicago Ave, Ward 3-140 W127, Chicago, IL 60611 | 2014-04-09 |
| 1912340589 | Guangyuan Li | Pathology | 251 E Huron St Ste 7-220, Chicago, IL 60611 | 2013-04-12 |
| 1164742722 | Jennifer Ann Bennett | Pathology | 5841 S Maryland Ave # Mc6101, Chicago, IL 60637-1443 | 2010-06-07 |
| 1588853733 | Martin Gross | Pathology | 5841 S Maryland, Mc 3083, Chicago, IL 60637 | 2007-10-23 |
| 1457354656 | Frederick G. Behm | Pathology | 840 S Wood St, Department of Pathology, Mc847, Chicago, IL 60612-4325 | 2005-05-23 |
| 1639639073 | Yevgen Chornenkyy | Pathology | 251 E Huron St, Chicago, IL 60611-3055 | 2019-03-21 |
| 1356845010 | Matthew Mccord | Pathology | 240 E Huron St Ste 1-203, Chicago, IL 60611 | 2018-03-19 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS.
| 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.