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THE BOARD OF TRUSTEE FOR THE UNIVERSITY OF ILLINOIS NPI 1578091971


NPI Information

NPI: 1578091971
Provider Name: THE BOARD OF TRUSTEE FOR THE UNIVERSITY OF ILLINOIS

Doing Business As: O'HARE URGENT CARE CLINIC

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
10000 WEST O'HARE
TERMINAL 2
CHICAGO, IL
ZIP 60660
Phone: (773) 894-5100
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THE BOARD OF TRUSTEE FOR THE UNIVERSITY OF ILLINOIS is an emergency medicine in Chicago, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. THE BOARD OF TRUSTEE FOR THE UNIVERSITY OF ILLINOIS NPI is 1578091971. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As O'hare Urgent Care Clinic.

The provider's business location address is:

10000 WEST O'HARE
TERMINAL 2
CHICAGO, IL
ZIP 60660-508
Phone: (773) 894-5100

The provider's authorized official is Rhea Begeman .
The authorized official title is Director Administrative Operations and has the following contact phone number (312) 413-0002.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 5/30/2017.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesNo
2363LA2100XNurse PractitionerAcute CareNo
3363LA2200XNurse PractitionerAdult HealthNo
4363LF0000XNurse PractitionerFamilyNo
5207P00000XEmergency 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
10320685617MEDICAIDILLINOIS
2324401923001MEDICAIDILLINOIS
3036070836MEDICAIDILLINOIS
4036081301MEDICAIDILLINOIS
5338843610001MEDICAIDILLINOIS
6359806839001MEDICAIDILLINOIS
7593669702001MEDICAIDILLINOIS
8036114380MEDICAIDILLINOIS
9355387038001MEDICAIDILLINOIS
10036083148MEDICAIDILLINOIS
11361626360001MEDICAIDILLINOIS

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: 4/28/2024

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.