Provider Demographics
NPI:1366759110
Name:UNIVERSITY OF CHICAGO HOSPITALS
Entity type:Organization
Organization Name:UNIVERSITY OF CHICAGO HOSPITALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:CORRO
Authorized Official - Last Name:DEANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:773-702-6840
Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 3051
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-6840
Mailing Address - Fax:
Practice Address - Street 1:8541 S MARYLAND AVE
Practice Address - Street 2:MC 3051
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-6215
Practice Address - Country:US
Practice Address - Phone:773-702-6840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital