THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1669493466

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 1669493466. The provider is registered as an organization entity type.
The provider Is Doing Business As Uih-mile Square Health Center.

The provider's business location address is:

1220 S. WOOD STREET
UIH-MILE SQUARE HEALTH CENTER
CHICAGO, IL
ZIP 60608-202
Phone: (312) 413-1261
Fax: (312) 413-7812

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 7/21/2006 and was last updated on 12/17/2015.

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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