institution
The Board Of Trustees Of The University Of Illinois
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1760400170

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 1760400170 and holds a License No. (Illinois).

The current practice location address for The Board Of Trustees Of The University Of Illinois is 7131 S. Jeffrey Blvd, Chicago, IL and can be reached out via phone at 773-256-0526 and via fax at 312-413-7812. You can also correspond with The Board Of Trustees Of The University Of Illinois through the mailing address at 1220 S. WOOD STREET, CHICAGO, IL - 60608-1202 (mailing address contact number: 312-413-1261).

Location: 7131 S. Jeffrey Blvd, Chicago, IL, 60608-1202
institution
Provider Profile Details
NPI Number
1760400170
Provider Name
The Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
7131 S. Jeffrey Blvd, Chicago, IL, 60608-1202
Phone Number
773-256-0526
Fax Number
312-413-7812
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCBS PROVIDER 01 IL 1622185
institution
Provider Business Practice Location Address Details
Address
7131 S. Jeffrey Blvd
City
State
Zip
60649-2497
Phone Number
773-256-0526
Fax Number
312-413-7812
person
Provider Business Mailing Address Details
Address
7131 S. Jeffrey Blvd
City
State
Zip
60649-2497
Phone Number
773-256-0526
Fax Number
312-413-7812
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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