Board of Trustees of the University of Illinois

NPI #1376586206 in Rockford, Illinois

Provider Information

NPI Number: 1376586206
Entity Type: Organization
Organization Name: Board of Trustees of the University of Illinois
Primary Specialty: Allergy & Immunology
Enumeration Date: Jun 14, 2006
Last Updated: Sep 10, 2007

Practice Location

Address: 1601 PARKVIEW AVE
City: Rockford
State: Illinois
ZIP Code: 61107-1822
Phone: (815) 395-5560

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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