Board of Trustees of the University of Illinois

NPI #1255761961 in Rockford, Illinois

Provider Information

NPI Number
1255761961
Entity Type
Organization
Organization Name
Board of Trustees of the University of Illinois
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Nov 15, 2013
Last Updated
Apr 27, 2016

Practice Location

Address
330 15TH AVE
ZIP Code
61104-5155
Phone
(815) 395-5858

Authorized Official

Name
MRS. UMA SRIRAM
Title
DIRECTOR OF FISCAL AFFAIRS
Phone
(815) 395-5637

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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