NPIMap

Organization Active NPI

University of Chicago Medical Center

  • Infusion Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1346864337
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
UNIVERSITY OF CHICAGO MEDICAL CENTER
Practice address
355 E Grand Ave Ste 2800
Chicago, IL 60611-5389
Phone
(773) 834-5588
Fax
(312) 654-5288
NPI assigned
Jun 4, 2020
Organization subpart
Yes
Parent organization
UNIVERSITY OF CHICAGO MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Nicole Lynn Fountain
Title
VP Revenue Cycle
Phone
(773) 834-5895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

355 E Grand Ave Ste 2800
Chicago, IL 60611-5389

Mailing address

355 E Grand Ave Ste 2800
Chicago, IL 60611-5389

Other names 1

  • University of Chicago Medical Center Infusion Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Saraswath Ramanathan16 organizations share this tax ID, including this one
Part of
Saraswath Ramanathan

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

355 E Grand Ave
Ste 2800
Chicago, IL 60611
Phone (773) 834-5588

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1346864337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E GRAND AVE STE 2800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E GRAND AVE STE 2800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115389",
            "telephone_number": "773-834-5588",
            "fax_number": "312-654-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CHICAGO MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CHICAGO MEDICAL CENTER",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "773-834-5895"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Chicago Medical Center Infusion Center",
            "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 11, 2020; 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.