THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1952713323

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 1952713323. The provider is registered as an organization entity type.
The provider Is Doing Business As Mile Square Auburn Gresham Health And Wellness Center.

The provider's business location address is:

8131 S MAY ST
CHICAGO, IL
ZIP 60620-007
Phone: (312) 996-4656
Fax: (312) 996-3848

The provider's authorized official is Cynthia Boyd .
The authorized official title is Director and has the following contact phone number (312) 996-4656.

The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/28/2014.

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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