Board of Trustees of the University of Illinois

NPI #1952348831 in Rockton, Illinois

Provider Information

NPI Number: 1952348831
Entity Type: Organization
Organization Name: Board of Trustees of the University of Illinois
Primary Specialty: Family Medicine
Enumeration Date: Jun 1, 2006
Last Updated: Sep 10, 2007

Practice Location

Address: 1511 N BLACKHAWK BLVD
City: Rockton
State: Illinois
ZIP Code: 61072-1513
Phone: (815) 264-2644

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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