Provider Demographics
NPI:1780736850
Name:THE UNIVERSITY OF CHICAGO MEDICAL CENTERS
Entity type:Organization
Organization Name:THE UNIVERSITY OF CHICAGO MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE INTEGRITY
Authorized Official - Prefix:MS
Authorized Official - First Name:BELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:773-702-1530
Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 1068
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-9786
Mailing Address - Fax:773-702-8608
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:773-702-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNIVERSITY OF CHICAGO MEDICAL CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-17
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========006Medicaid