NPIMap

Organization Active NPI

Uic Clinic

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1679993471
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
018001794 Issued in IL
Legal business name
UIC CLINIC
Practice address
2605 S Indiana Ave Unit 606
Chicago, IL 60616-2865
Phone
(312) 504-7972
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Scott Pinkerton
Title
Customer Service Specialist
Phone
(217) 333-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 018001794 IL Primary

Addresses

Primary practice location

2605 S Indiana Ave Unit 606
Chicago, IL 60616-2865

Mailing address

2605 S Indiana Ave Unit 606
Chicago, IL 60616-2865
Phone (312) 504-7972

National Provider Directory

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

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1679993471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S INDIANA AVE UNIT 606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162865",
            "telephone_number": "312-504-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S INDIANA AVE UNIT 606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162865",
            "telephone_number": "312-504-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CUSTOMER SERVICE SPECIALIST",
        "authorized_official_telephone_number": "217-333-2180"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "018001794",
            "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 Apr 18, 2014; 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.