Provider Demographics
NPI:1386838035
Name:THE UNIVERSITY OF CHICAGO HOSPITALS
Entity Type:Organization
Organization Name:THE UNIVERSITY OF CHICAGO HOSPITALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN/CPNP
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-702-3003
Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 4060
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-6808
Mailing Address - Fax:773-702-9881
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-6808
Practice Address - Fax:773-702-9881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access