| University Of Illinois Medical Center At Chicago | |
|
1740 W Taylor St Chicago IL 60612-7232 | |
| (866) 600-2273 | |
| (312) 996-1001 |
| Full Name | University Of Illinois Medical Center At Chicago |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1740 W Taylor St, Chicago, Illinois |
| Authorized Official Name and Position | Laurence Appel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3129963620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Illinois Medical Center At Chicago 1740 W Taylor St # Mc693 Chicago IL 60612-7232 Ph: (312) 996-3620 | University Of Illinois Medical Center At Chicago 1740 W Taylor St Chicago IL 60612-7232 Ph: (866) 600-2273 |
| NPI Number | 1073552022 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 09/19/2018 |
| Medicare PECOS PAC ID | 3072422716 |
|---|---|
| Medicare Enrollment ID | O20071109000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073552022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
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