institution
The Board Of Trustees Of The University Of Illinois
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1841614609

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 1841614609 and holds a License No. (Illinois).

The current practice location address for The Board Of Trustees Of The University Of Illinois is 3240 W Division St, Chicago, IL and can be reached out via phone at 312-413-7425 and via fax at 312-996-3512.

Location: 3240 W Division St, Chicago, IL, 60612-3727
institution
Provider Profile Details
NPI Number
1841614609
Provider Name
The Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
3240 W Division St, Chicago, IL, 60612-3727
Phone Number
312-413-7425
Fax Number
312-996-3512
Provider Enumeration Date
02/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1622185 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
3240 W Division St
City
State
Zip
60651-2405
Phone Number
312-413-7425
Fax Number
312-996-3512
person
Provider Business Mailing Address Details
Address
3240 W Division St
City
State
Zip
60651-2405
Phone Number
312-413-7425
Fax Number
312-996-3512
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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