University of Illinois at Chicago

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

070.010259 Issued in IL

Legal business name

UNIVERSITY OF ILLINOIS AT CHICAGO

Practice address

1919 West Taylor - 650 Ahsb
Department of Kinesiology an
Chicago, IL 60612

Phone

(708) 507-0154

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie Ann Robichaud, PT, PHDNPI 1235750365

Title

Speciaist in PT

Phone

(312) 355-9600

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Julie Ann Robichaud, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1235750365
  NPD (past) Authorized official

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1649522095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MARENGO AVE UNIT A",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301107",
            "telephone_number": "708-488-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 WEST TAYLOR - 650 AHSB",
            "address_2": "DEPARTMENT OF KINESIOLOGY AN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "708-507-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ILLINOIS AT CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPECIAIST IN PT",
        "authorized_official_telephone_number": "312-355-9600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "070.010259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago
• University of Illinois at Chicago College of Dentistry
• University of Illinois at Chicago Medical Center

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.