Active NPI
The Board of Trustees of the University of Illinois
- Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- Practice address
- 840 S Wood St
Chicago, IL 60612-7322 - Phone
- (312) 996-9300
- NPI assigned
- Apr 25, 2007
- Last updated
- May 18, 2022
- Organization subpart
- No
NPPES NPI Registry
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | |||
| Transplant Surgery Physician | 204F00000X | |||
| Plastic Surgery Physician | 208200000X | |||
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | |||
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | |||
| Surgery Physician | 208600000X | Primary | ||
| Surgical Critical Care Physician | 2086S0102X | |||
| Surgery of the Hand (Surgery) Physician | 2086S0105X | |||
| Pediatric Surgery Physician | 2086S0120X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | |||
| Trauma Surgery Physician | 2086S0127X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Surgical Oncology Physician | 2086X0206X | |||
| Colon & Rectal Surgery Physician | 208C00000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
840 S Wood St
Chicago, IL 60612-7322
Mailing address
7732 Solution Center
Chicago, IL 60677-0001
Other names 1
- Dept of Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000158 | IL | Part B Supplier - Clinic/Group Practice | 3072422716 |
Receives reassigned benefits from 2,115 practitioners 44 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 44
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba UIC Craniofacial Center
- Oral and Maxillofacial Surgery (Dentist)
- Chicago, IL
- NPI 1326483991
O20031112000158
-
dba University Medical Services at Parkview
- Family Medicine Physician
- Rockford, IL
- NPI 1003218348
O20031112000158
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1013136282
O20031112000158
-
dba University Primary Care Clinic at Mt Morris
- Family Medicine Physician
- Mount Morris, IL
- NPI 1033157755
O20031112000158
-
dba UIC Women & Children's Health Center
- Obstetrics & Gynecology Physician
- Rockford, IL
- NPI 1205873189
O20031112000158
-
dba UIC Hospital Programs
- Psychologist
- Chicago, IL
- NPI 1316537889
O20031112000158
-
dba University Primary Care Clinic at Belvidere
- Family Medicine Physician
- Belvidere, IL
- NPI 1336187749
O20031112000158
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
O20031112000158
-
- Surgical Oncology Physician
- Chicago, IL
- NPI 1508085630
O20031112000158
-
dba University Clinic at South Beloit School District
- Student Health Clinic/Center
- South Beloit, IL
- NPI 1568894715
O20031112000158
-
- Radiation Oncology Physician
- Chicago, IL
- NPI 1669691788
O20031112000158
-
dba University Psychiatric Clinic
- Psychiatry Physician
- Rockford, IL
- NPI 1699713636
O20031112000158
National Provider Directory
National Provider DirectoryLocations
1009 W Taylor St
Chicago, IL 60607
1220 S Wood St
Fl 2
Chicago, IL 60608
Phone (312) 996-2779
135 S Lasalle St
Dept 3449
Chicago, IL 60674
1740 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300
1801 W Taylor St
#1B
Chicago, IL 60612
1801 W Taylor St
#1C
Chicago, IL 60612
Phone (312) 413-3631
1801 W Taylor St
Fl 3
Chicago, IL 60612
Phone (312) 996-6480
1801 W Taylor St
Rm 3F
Chicago, IL 60612
1801 W Taylor St
Ste 1B
Chicago, IL 60612
Phone (312) 996-7598
1801 W Taylor St
Ste 2E
Chicago, IL 60612
Phone (312) 996-7416
1801 W Taylor St
Ste 3F
Chicago, IL 60612
Phone (312) 355-1493
1801 W Taylor St
Ste C400
Chicago, IL 60612
1840 W Taylor St
Chicago, IL 60612
2710 S Dearborn St
Chicago, IL 60616
Phone (312) 355-5745
3050 W 39th Pl
Chicago, IL 60632
Phone (312) 413-3039
722 W Maxwell St
Chicago, IL 60607
Phone (312) 355-5043
839 W 79th St
Chicago, IL 60620
Phone (312) 492-1220
840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429
840 S Wood St
Ste 619
Chicago, IL 60612
Practitioners & affiliated clinicians
Practitioners 122
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.
-
- Colon & Rectal Surgery Physician
- Chicago, IL
- NPI 1881792372
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1023184637
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1083364707
-
- Plastic Surgery Physician
- Chicago, IL
- NPI 1720382856
-
- Transplant Surgery Physician
- Maywood, IL
- NPI 1609122159
-
- Family Medicine Physician
- Chicago, IL
- NPI 1063659928
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1881239168
-
- Nephrology Physician
- Burr Ridge, IL
- NPI 1386611903
-
- Transplant Surgery Physician
- Chicago, IL
- NPI 1770689143
-
- Colon & Rectal Surgery Physician
- Chicago, IL
- NPI 1689017303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1265651392",
"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": "840 S WOOD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127322",
"telephone_number": "312-996-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"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": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Transplant Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": null,
"license": null,
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dept of Surgery",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Dept of Surgery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Board of Trustees of the University of Illinois (University of Illinois Hospital and Clinics)
- The Board of Trustees of the University of Illinois (College of Applied Health Sciences Faculty Practice)
- The Board of Trustees of the University of Illinois (Mile Square- IHC Thresholds Mothers Program)
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois (UIC Sleep Science Center)
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois (Uic - MSHC Near West Family Center)
- The Board of Trustees of the University of Illinois (Young Women's Leadership Charter)
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois (UIH-Mile Square Health Center at Englewood)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.