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BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1003218348


NPI Information

NPI: 1003218348
Provider Name: BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Doing Business As: UNIVERSITY MEDICAL SERVICES AT PARKVIEW

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1601 PARKVIEW AVE
ROCKFORD, IL
ZIP 61107
Phone: (815) 395-5637
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BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1003218348. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Medical Services At Parkview.

The provider's business location address is:

1601 PARKVIEW AVE
ROCKFORD, IL
ZIP 61107-822
Phone: (815) 395-5637
Fax: (815) 395-5887

The provider's authorized official is Uma Sriram .
The authorized official title is Director Of Fiscal Affairs and has the following contact phone number (815) 395-5637.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 4/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2106H00000XMarriage & Family TherapistNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.