THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1609822147

NPI Information

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1609822147. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of Psychiatry.

The provider's business location address is:

912 S WOOD ST
CHICAGO, IL
ZIP 60612-300
Phone: (312) 413-3783
Fax: (312) 996-3514

The provider's authorized official is Sunita Prabhakar .
The authorized official title is Director Of Physician Practice and has the following contact phone number (312) 413-3783.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 12/7/2015.

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:

Other Identifiers

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