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 1932395233. The provider is registered as an organization entity type.
The provider Is Doing Business As Mile Square - Ihc Thresholds North.
The provider's business location address is:
4219 N LINCOLN AVE
IHC THRESHOLDS YOUNG ADULT PROGRAM, 3RD FLOOR
CHICAGO, IL
ZIP 60618-901
Phone: (312) 996-9354
Fax: (312) 996-7725
The provider's authorized official is William R. Nicholas .
The authorized official title is Executive Director Medical Plan Uic and has the following contact phone number (312) 413-0573.
The enumeration date for this NPI number is 9/20/2007 and was last updated on 7/22/2009.