Organization Name: | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
NPI Number: | 1154540607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTORIA LEVITSKE (DIRECTOR OF FINANCE) |
Mailing Address: | 1740 W Taylor St Chicago |
State: | IL US |
Postal Code: | 606127238 |
Phone Number: | 3124134900 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |