NPI: 1346707254
Provider Name: THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Doing Business As: MILE SQUARE DR. CYNTHIA BARNES-BOYD/DRAKE HEALTH AND WELLNESS CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
2710 S DEARBORN ST
CHICAGO, IL
ZIP 60616
Phone: (312) 355-5746
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THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a federally qualified health center (fqhc) clinic center in Chicago, IL. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1346707254. The provider is registered as an organization entity type.
The provider Is Doing Business As Mile Square Dr. Cynthia Barnes-boyd/drake Health And Wellness Center.
The provider's business location address is:
2710 S DEARBORN ST
CHICAGO, IL
ZIP 60616-684
Phone: (312) 355-5746
The provider's authorized official is Victoria Marie Levitske .
The authorized official title is Director Of Finance and has the following contact phone number (312) 996-0566.
The enumeration date for this NPI number is 2/27/2019 and was last updated on 8/9/2019.