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  • Uic Neurosurgery Form

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ASE BRING COMPLETED FORM WITH YOU TO YOUR SCHEDULED APPOINTMENT AS WELL AS ALL YOUR MEDICATIONS AND ANY PRIOR MEDICAL RECORDS OR X-RAYS Please assist in obtaining the most accurate information regarding your medical history by completing the information below. If you have already completed this form for our department, please disregard. Your assistance is greatly appreciated. GENERAL INFORMATION: Date: Name.

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NEUROLOGY AND REHABILITATION MEDICINE Department Head Jeffrey A Loeb 656N NPI MC 796 912 S. Wood Street Chicago IL 60612T 312-996-1757 F 312-413-1388 jaloeb@uic.eduDirector of Administrative Operations David Katz 174 NPI MC 796T 312-355-1748 F 312-996-4169 davkatz@uic.eduClinics and Services123 more rows

Rankings. University of Illinois Chicago is ranked #250 in Best Global Universities. Schools are ranked ing to their performance across a set of widely accepted indicators of excellence.

A non-refundable application fee of $70 (U.S. currency) is required to have your application reviewed. Available application fee waivers are noted on the Admissions website.

Dr. Loeb currently serves as the department head of the UIC Department of Neurology & Rehabilitation and previously was a professor in the department of neurology and the associate director of The Center for Molecular Medicine and Genetics at Wayne State University School of Medicine in Detroit, Michigan.

Administrative Offices TitleContactDeanLisa A. FreemanExecutive Associate Dean of the CollegeDavid Jonathan HofmanExecutive Assistant to the Dean and Manager of Special ProjectsKatarzyna (Kathy) LesinskiExecutive Assistant to the Dean and Manager of Special ProjectsVictoria Bolf42 more rows

The University of Illinois Chicago, the city's largest and only public university that holds the distinguished R1 research status in the Carnegie Classification of Institutions of Higher Education, is led by Chancellor Marie Lynn Miranda. She officially assumed the role July 5, 2023.

University of Illinois 2023-2024 Rankings 58 (tie) in Best Medical Schools: Research and No. 53 (tie) in Best Medical Schools: Primary Care.

UIC is led by Chancellor Marie Lynn Miranda, a leader in geospatial health informatics.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232