institution
The Board Of Trustees Of The University Of Illinois
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1295751220

The Board Of Trustees Of The University Of Illinois is a Federally Qualified Health Center (FQHC) based in Chicago, IL and is specialized in Federally Qualified Health Center (FQHC). The Board Of Trustees Of The University Of Illinois practices in Chicago, IL. The NPI Number for The Board Of Trustees Of The University Of Illinois is 1295751220 and holds a License No. (Illinois).

The current practice location address for The Board Of Trustees Of The University Of Illinois is 2641 S Calumet Ave, Chicago, IL and can be reached out via phone at 312-996-2000 and via fax at 312-413-1782.

Location: 2641 S Calumet Ave, Chicago, IL, 60608-1202
institution
Provider Profile Details
NPI Number
1295751220
Provider Name
The Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
2641 S Calumet Ave, Chicago, IL, 60608-1202
Phone Number
312-996-2000
Fax Number
312-413-1782
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1622185 01 BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
2641 S Calumet Ave
City
State
Zip
60616-2901
Phone Number
312-996-2000
Fax Number
312-413-1782
person
Provider Business Mailing Address Details
Address
2641 S Calumet Ave
City
State
Zip
60616-2901
Phone Number
312-996-2000
Fax Number
312-413-1782
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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