Board of Trustees of the University of Illinois

NPI #1336187749 in Belvidere, Illinois

Provider Information

NPI Number: 1336187749
Entity Type: Organization
Organization Name: Board of Trustees of the University of Illinois
Primary Specialty: Family Medicine
Enumeration Date: Jun 4, 2006
Last Updated: Sep 10, 2007

Practice Location

Address: 2170 PEARL ST
City: Belvidere
State: Illinois
ZIP Code: 61008-6020
Phone: (815) 547-5461

Authorized Official

Name: JOHN FITZHORN
Title: DIRECTOR OF PATIENT ACCOUNTS
Phone: (815) 395-5892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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