NPIMap

Organization Active NPI

University of Illinois Chicago

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1720376965
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
125059358 Issued in IL
Legal business name
UNIVERSITY OF ILLINOIS CHICAGO
Practice address
1740 West Taylor Street,
University of Illinois
Chicago, IL 60612
Phone
(866) 600-2273
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Dr. Leela M Prasad, MD,FACS,MC,ABCRS
Title
Chief of Colorectal Surgery
Phone
(312) 413-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X 125059358 IL Primary

Addresses

Primary practice location

1740 West Taylor Street,
University of Illinois
Chicago, IL 60612

Mailing address

1740 West Taylor Street,
University of Illinois
Chicago, IL 60612
Phone (866) 600-2273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1720376965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 WEST TAYLOR STREET,",
            "address_2": "UNIVERSITY OF ILLINOIS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "866-600-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 WEST TAYLOR STREET,",
            "address_2": "UNIVERSITY OF ILLINOIS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ILLINOIS CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "LEELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OF COLORECTAL SURGERY",
        "authorized_official_telephone_number": "312-413-2708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FACS,MC,ABCRS"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125059358",
            "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 Jul 20, 2011; 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.