The Board of Trustees of the University of Illinois

NPI #1033135041 in Chicago, Illinois

Provider Information

NPI Number
1033135041
Entity Type
Organization
Organization Name
The Board of Trustees of the University of Illinois
Subpart
Yes (part of a larger organization)
Parent Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 14, 2006
Last Updated
Aug 4, 2008

Practice Location

Address
2102 W MONROE ST
ZIP Code
60612-3015
Phone
(312) 996-2000

Authorized Official

Name
INN LEE
Title
ASSOCIATE DIRECTOR
Phone
(312) 413-9854

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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