BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

CHICAGO, IL
NPI1992873921
Other NameUIC COLLEGE OF DENTISTRY
Entity TypeOrganization
Authorized ContactDAVID M CLARK
Associate Dean For Patient Services
312-996-3544
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Additional Taxonomies1223E0200X Dentist, Endodontics
1223G0001X Dentist, General Practice
1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223P0700X Dentist, Prosthodontics
1223S0112X Dentist, Oral and Maxillofacial Surgery
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2006-11-30
Last Update Date2022-12-12
Business Address
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
801 S PAULINA ST MC 621
CHICAGO, IL 60612-7210
Phone number: 312-996-7555
Mailing Address
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
801 S PAULINA ST MC 621
CHICAGO, IL 60612-7210
Phone number: 312-996-7555