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THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1851041677


NPI Information

NPI: 1851041677
Provider Name: THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Doing Business As: MILE SQUARE HEALTH CENTER DPP

Classification: Health Educator - 174H00000X
Entity Type: Organization
Address:
1220 S WOOD ST
CHICAGO, IL
ZIP 60608
Phone: (312) 413-3282
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THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a health educator in Chicago, IL. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1851041677. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mile Square Health Center Dpp.

The provider's business location address is:

1220 S WOOD ST
CHICAGO, IL
ZIP 60608-202
Phone: (312) 413-3282

The provider's authorized official is Henry Taylor .
The authorized official title is Ceo and has the following contact phone number (312) 413-1832.

The enumeration date for this NPI number is 3/25/2022 and was last updated on 4/25/2022.


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
1174H00000XHealth EducatorYes

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
1174H00000XMEDICAIDILLINOIS

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.