Organization Active NPI

The Board of Trustees of the University of Illinois

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1023238433
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice address
912 S Wood
Chicago, IL 60612-7327
Phone
(312) 996-3496
NPI assigned
Apr 26, 2007
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kailas Sanghani
Title
Director of Finance
Phone
(312) 413-1350

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Spinal Cord Injury Medicine Physician 2081P0004X
Pediatric Rehabilitation Medicine Physician 2081P0010X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X

Addresses

Primary practice location

912 S Wood
Chicago, IL 60612-7327

Mailing address

7732 Solution Center
Chicago, IL 60677-0001

Other identifiers 2

IdentifierTypeStateIssuer
CN1213OtherILRAILROAD GROUP
01619272OtherILBCBS GROUP

Other names 1

  • Dept of Physical Medicine and Rehabilitation Other name

National Provider Directory

National Provider Directory

Locations

135 S Lasalle St
Dept 3447
Chicago, IL 60674

1801 W Taylor St
#4E
Chicago, IL 60612
Phone (312) 355-4300

1801 W Taylor St
Ste C
Chicago, IL 60612

3447 Paysphere Cir
Chicago, IL 60674

835 S Wolcott Ave
#774
Chicago, IL 60612

912 S Wood St
#796
Chicago, IL 60612
Phone (312) 413-1293

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1023238433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 SOLUTION CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WOOD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127327",
            "telephone_number": "312-996-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "SANGHANI",
        "authorized_official_first_name": "KAILAS",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "312-413-1350"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "CN1213",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "01619272",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Physical Medicine and Rehabilitation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dept of Physical Medicine and Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.