NPI | 1659501500 |
---|---|
Doing Business As | UIC MAXILLOFACIAL PROSTHETICS CLINIC |
Doing Business As | UI HEALTH CRANIOFACIAL PROSTHETIC CLINIC |
Entity Type | Organization |
Authorized Contact | LAURENCE APPEL Chief Financial Officer 312-996-3620 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2009-07-24 |
Last Update Date | 2018-09-19 |