THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS


Address: 1740 W Taylor St, Chicago, IL 60612-7232
Phone: 3129967699

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1942244645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942244645
Entity Type Organization
Organization Name THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Organization Name UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO
Practice Address 1740 W Taylor St
Chicago
IL 60612-7232
Mailing Address 809 S Marshfield Ave
9th Floor (m/c 732)
Chicago
IL 60612-4305
Practice Telephone 3129967699
Practice Fax Number 3129961001
Mailing Telephone 3129961000
Mailing Fax Number 3129961001
Enumeration Date 2006-06-15
Last Update Date 2017-04-11
Authorized Official Name MR. MICHAEL BENJAMIN ZENN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3129963620
Is Organization Subpart Y
Parent Organization Name THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians
N 204F00000X Transplant Surgery Allopathic & Osteopathic Physicians
N 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians
N 207RH0000X Internal Medicine
Specialization: Hematology
Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1740 W TAYLOR ST
City CHICAGO
State IL
Zip Code 60612-7232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467450882 Nestor S Cuasay Radiology 1740 W Taylor St, Chicago, IL 60612-7232 2005-07-09
1255941589 Tariq Yousef Mohammad Alyamani Internal Medicine 1740 W Taylor St, Chicago, IL 60612-7232 2020-08-02
1043828601 Alexandra Leora Millman Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-07-20
1457974818 Marian Shehata Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-20
1033731773 Parisa Hassanzadeh Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-16
1922620939 Mohammad El-saied Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1205458213 Michal Gorski Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1710509773 Jaspreet Bahia Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1184246191 Sean Carter Tompkins Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
1548882442 Zaid Adel Zayyad Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2020-05-13
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606193 Thatiana Carolina Schulze Goni Internal Medicine 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1750995742 Eva Bartaula Internal Medicine 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj Internal Medicine 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy Internal Medicine 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1871119172 Irina Komissarova Internal Medicine 916 S Oakley Blvd, Chicago, IL 60612-4230 2020-06-22
1336760719 Arslan Zahid Internal Medicine 5847 S Maryland Ave, Chicago, IL 60637-1463 2020-04-27
1104447572 Nirmal Desai Internal Medicine 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 2020-04-27
1467072447 Justin Edmond Sipiora Internal Medicine 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 2020-04-20
1003449612 Eoht LLC Internal Medicine 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 2020-02-21
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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