Board of Trustees of the University of Illinois
NPI #1568894715 in South Beloit, Illinois
Provider Information
- NPI Number
- 1568894715
- Entity Type
- Organization
- Organization Name
- Board of Trustees of the University of Illinois
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Jul 30, 2013
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 245 PRAIRIE HILL RD
- City
- South Beloit
- State
- Illinois
- ZIP Code
- 61080-2579
- Phone
- (815) 389-9252
Authorized Official
- Name
- MRS. UMA SRIRAM
- Title
- DIRECTOR OF FINANCIAL AFFAIRS
- Phone
- (815) 395-5637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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