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Contact Information

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST
CHICAGO, IL60612-7322
 Phone: 312-996-9300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Transplant Surgery

204F00000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS · (Female)

NPI # 1265651392
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 01618613 BCBS GROUP
  • IL Other CA8300 RAILROAD GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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