institution
Board Of Trustees Of The University Of Illinois
Student Health Clinic/Center in Rockford, Illinois
NPI 1255761961

Board Of Trustees Of The University Of Illinois is a Student Health Clinic/Center based in Rockford, IL and is specialized in Student Health. 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 1255761961 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of The University Of Illinois is 330 15Th Ave, Rockford, IL and can be reached out via phone at 815-395-5858 and via fax at 815-968-2035. 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: 815-385-5637).

Location: 330 15Th Ave, Rockford, IL, 61107-1822
institution
Provider Profile Details
NPI Number
1255761961
Provider Name
Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
330 15Th Ave, Rockford, IL, 61107-1822
Phone Number
815-395-5858
Fax Number
815-968-2035
Provider Enumeration Date
11/15/2013
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
330 15Th Ave
City
State
Zip
61104-5155
Phone Number
815-395-5858
Fax Number
815-968-2035
person
Provider Business Mailing Address Details
Address
1601 Parkview Ave
City
State
Zip
61107-1822
Phone Number
815-385-5637
Fax Number
815-395-5887
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
()
Definition
Definition to come...
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