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).
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 |
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 Name | Type Code |
---|---|
UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO | Doing Business As Name - 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 |
1740 W TAYLOR ST |
City | CHICAGO |
State | IL |
Zip Code | 60612-7232 |
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 |
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 | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
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.