NPIMap

Organization Active NPI

University of Illinois Department of Pediatrics

  • Genetics Clinic/Center
  • Chicago, IL
National Provider Identifier
1336599463
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
Legal business name
UNIVERSITY OF ILLINOIS DEPARTMENT OF PEDIATRICS
Practice address
1801 W Taylor St
Ste. 2E
Chicago, IL 60612-4795
Phone
(312) 355-0732
Fax
(312) 355-0739
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Maria-Renee Plona, M.S.
Title
Genetic Counselor
Phone
(312) 355-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X NU Primary

Addresses

Primary practice location

1801 W Taylor St
Ste. 2E
Chicago, IL 60612-4795

Mailing address

840 S Wood St
12TH Floor MC 856
Chicago, IL 60612-4325
Phone (312) 355-0732

National Provider Directory

National Provider Directory
Tax ID family
Uic Dept of Pathology122 organizations share this tax ID, including this one
Part of
Uic Dept of Pathology

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1801 W Taylor St
Ste 2E
Chicago, IL 60612
Phone (312) 996-7416

840 S Wood St
Fl 12
Chicago, IL 60612
Phone (312) 355-0732

Practitioners & affiliated clinicians

Practitioners 4

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": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1336599463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "address_2": "12TH FLOOR MC 856",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-355-0732",
            "fax_number": "312-355-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "address_2": "STE. 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-0732",
            "fax_number": "312-355-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ILLINOIS DEPARTMENT OF PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ILLINOIS",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "PLONA",
        "authorized_official_first_name": "MARIA-RENEE",
        "authorized_official_title_or_position": "GENETIC COUNSELOR",
        "authorized_official_telephone_number": "312-355-0732",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2016; 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.