Uic Clinic

NPI 1679993471 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1679993471
Enumeration Date 04/18/2014
Last Updated 04/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SCOTT SCOTT
Position CUSTOMER SERVICE SPECIALIST
Phone (312) 504-7972
Fax
Practice Location
2605 S INDIANA AVE UNIT 606
CHICAGO IL, 60616-2865, US
Phone (312) 504-7972
Fax
Business Location
2605 S INDIANA AVE UNIT 606
CHICAGO IL, 60616-2865, US
Phone (312) 504-7972
Fax
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number 018001794
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According to our database, Uic Clinic NPI is 1679993471, taxonomy code is 390200000X and license number is 018001794, license state is located at Illinois. Uic Clinic physically located at 2605 S Indiana Ave Unit 606, Chicago IL, 60616-2865. NPI Number 1033115704 has the healthcare provider type.

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1679993471 NPI number is provided on an as is basis without warranty of any kind. 1679993471 is maintained by the National Plan & Provider Enumeration System. The contents of Uic Clinic are for informational purposes only.