NPIMap

Organization Active NPI

Board of Trustees of the University of Illinois

Doing business as UIC Pathology Clinical Lab

  • Clinical Pathology/Laboratory Medicine Physician
  • Chicago, IL
National Provider Identifier
1871811786
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Doing business as
UIC Pathology Clinical Lab
Practice address
1740 W. Taylor Street
Chicago, IL 60612
Phone
(312) 996-7312
Fax
(312) 996-7586
NPI assigned
May 17, 2010
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Mrs. Preyal Ankit Patel
Title
Director of Administrative Operatio
Phone
(312) 996-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU Primary

Addresses

Primary practice location

1740 W. Taylor Street
Chicago, IL 60612

Mailing address

2723 Solution Center
Chicago, IL 60677
Phone (312) 996-7312

Other names 1

  • UIC Pathology Clinical Lab Doing business as

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

Locations

2723 Solution Ctr
Chicago, IL 60677

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1871811786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 SOLUTION CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60677",
            "telephone_number": "312-996-7312",
            "fax_number": "312-996-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W. TAYLOR STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-7312",
            "fax_number": "312-996-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PREYAL",
        "authorized_official_middle_name": "ANKIT",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE OPERATIO",
        "authorized_official_telephone_number": "312-996-2135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UIC Pathology Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 2017; 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.