BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1790704484

NPI Information

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a federally qualified health center (fqhc) clinic center in Chicago, IL. BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1790704484. The provider is registered as an organization entity type.
The provider Is Doing Business As Smyth Joyner School Based Clinic.

The provider's business location address is:

1059 W 13TH ST
CHICAGO, IL
ZIP 60608-526
Phone: (312) 996-2000
Fax: (312) 413-1782

The provider's authorized official is Inn Lee .
The authorized official title is Associate Director and has the following contact phone number (312) 413-9854.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 2/21/2008.

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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