University of Illinois Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

209006118 Issued in IL

Legal business name

UNIVERSITY OF ILLINOIS MEDICAL CENTER

Practice address

840 S Wood St
Mail Code 958, Room 435 E
Chicago, IL 60612-4325

Phone

(312) 355-5562

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Chinnamma M Chretien, APN

Title

Surgical Coordinator

Phone

(312) 355-5562

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1780868893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S. WOOD STREET,",
            "address_2": "MAIL CODE 958, ROOM 435 E",
            "city": "CHCIACO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-355-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "address_2": "MAIL CODE 958, ROOM 435 E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-355-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ILLINOIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "CHRETIEN",
        "authorized_official_first_name": "CHINNAMMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SURGICAL COORDINATOR",
        "authorized_official_telephone_number": "312-355-5562",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "209006118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Illinois Hospital
• University of Illinois Hospital
• University of Illinois Medical Center
• University of Illinois Medical Center
• University of Illinois Medical Center
• University of Illinois SCB Pharmacy (University of Illinois Taylor Street EEI Pharmacy)
• University Ophthalmology Associates, LTD
• University Pain Physicans LLC
• University Pain Physicians LLC
• University Pathologists Consultants, LLC

• 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 Dec 26, 2007; 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.