The Board of Trustees of the University of Illinois
NPI #1871905190 in South Beloit, Illinois
Provider Information
- NPI Number
- 1871905190
- Entity Type
- Organization
- Organization Name
- The Board of Trustees of the University of Illinois
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- May 21, 2014
- Last Updated
- May 21, 2014
Practice Location
- Address
- 840 BLACKHAWK BLVD
- City
- South Beloit
- State
- Illinois
- ZIP Code
- 61080-2263
- Phone
- (815) 395-5861
Authorized Official
- Name
- MR. MICHAEL HARNER
- Title
- DIRECTOR OF FINANCIAL AFFAIRS
- Phone
- (815) 395-5637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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