Board of Trustees of the University of Illinois
Organization Active NPI Emergency Medicine Physician · Chicago, IL
NPI 1891913992 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1891913992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- Practice address
- 808 S Wood St
Chicago, IL 60612-7300 - Phone
- (312) 413-7480
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Kailas Sanghani
- Title
- Director of Finance
- Phone
- (312) 413-1350
Other NPIs on the same Medicare enrollment 44
Practitioners 141
-
Habtamu Tamiru Abebe, APRN
-
Aneet Ahluwalia, M.D.
-
Molly Andersen, D.O
-
Alexia Armenta, MD
-
Sunil Arora, M.D.
-
Alexandra Isa Asrow, M.D.
-
Yejide Awolola, DNP
-
Amar Shakti Bhardwaj, M.D.
-
Kameka Brown, PHD
-
Edward Bradshaw Bunney, M.D.
-
Leah Susanne Burt, A.P.N.
-
Katherine Cappitelli, NP-C
-
Ruben Cardoso Jr., M.D.
-
Rebecca Murphy Caton, M.D.
-
Stacey Lynn Chamberlain, M.D.
-
Megan Chan, MD
-
David Chestek, DO
-
Neeraj Chhabra, M.D.
-
James H Cho, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000158 | IL | Part B Supplier - Clinic/Group Practice | 3072422716 |
Receives reassigned benefits from 2,115 practitioners 44 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
808 S Wood St
Chicago, IL 60612
Phone (312) 413-7492
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
808 S Wood St
Chicago, IL 60612-7300
Mailing address
7732 Solution Center
Chicago, IL 60677-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA5874 | Other | IL | RAILROAD GROUP |
| 01618668 | Other | IL | BCBS GROUP |
Other names
- UIC Dept of Emergency Medicine
Other providers in Chicago, IL
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
- Board of Trustees of the University of Illinois
All providers in Chicago, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.