THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

NPI # 

Practice Address:

840 S Wood St , Room 163

Chicago, IL, 60612-4325

Practice Phone:

312-996-6887

Practice Fax:

312-355-1916

License Number:

93007836

License State:

IL

Taxonomy Grouping:

Suppliers

Taxonomy Classification:

Durable Medical Equipment & Medical Supplies

Taxonomy Code:

332B00000X