institution
Board Of Trustees Of The University Of Illinois
Family Medicine Physician in Rockford, Illinois
NPI 1003218348

Board Of Trustees Of The University Of Illinois is a Family Medicine Physician based in Rockford, IL. Board Of Trustees Of The University Of Illinois practices in Rockford, IL. The NPI Number for Board Of Trustees Of The University Of Illinois is 1003218348 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of The University Of Illinois is 1601 Parkview Ave, Rockford, IL and can be reached out via phone at 815-395-5637 and via fax at 815-395-5887. You can also correspond with Board Of Trustees Of The University Of Illinois through the mailing address at 1601 PARKVIEW AVE, ROCKFORD, IL - 61107-1822 (mailing address contact number: 815-395-5637).

Location: 1601 Parkview Ave, Rockford, IL, 61107-1822
institution
Provider Profile Details
NPI Number
1003218348
Provider Name
Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
1601 Parkview Ave, Rockford, IL, 61107-1822
Phone Number
815-395-5637
Fax Number
815-395-5887
Provider Enumeration Date
09/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IL
institution
Provider Business Practice Location Address Details
Address
1601 Parkview Ave
City
State
Zip
61107-1822
Phone Number
815-395-5637
Fax Number
815-395-5887
person
Provider Business Mailing Address Details
Address
1601 Parkview Ave
City
State
Zip
61107-1822
Phone Number
815-395-5637
Fax Number
815-395-5887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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