THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1124787908

NPI Information

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 1124787908. The provider is registered as an organization entity type.
The provider Is Doing Business As Ui Health Mile Square Health Center Back Of The Yards Dental.

The provider's business location address is:

4634 S BISHOP ST
CHICAGO, IL
ZIP 60609-240
Phone: (312) 355-5570

The provider's authorized official is Henry Taylor .
The authorized official title is Ceo and has the following contact phone number (312) 413-1261.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 2/8/2022.

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:

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