The Board of Trustees of the University of Illinois

NPI #1609822147 in Chicago, Illinois

Provider Information

NPI Number
1609822147
Entity Type
Organization
Organization Name
The Board of Trustees of the University of Illinois
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
May 26, 2006
Last Updated
Dec 7, 2015

Practice Location

Address
912 S WOOD ST
ZIP Code
60612-4300
Phone
(312) 413-3783

Authorized Official

Name
MS. SUNITA PRABHAKAR, MS, CPC
Title
DIRECTOR OF PHYSICIAN PRACTICE
Phone
(312) 413-3783

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Adult Mental HealthAdult Mental Health

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