institution
The Board Of Trustees Of The University Of Illinois
Student Health Clinic/Center in South Beloit, Illinois
NPI 1871905190

The Board Of Trustees Of The University Of Illinois is a Student Health Clinic/Center based in Rockford, IL and is specialized in Student Health. The Board Of Trustees Of The University Of Illinois practices in South Beloit, IL. The NPI Number for The Board Of Trustees Of The University Of Illinois is 1871905190 and holds a License No. (Illinois).

The current practice location address for The Board Of Trustees Of The University Of Illinois is 840 Blackhawk Blvd, South Beloit, IL and can be reached out via phone at 815-395-5861 and via fax at 815-395-5575. You can also correspond with The Board Of Trustees Of The University Of Illinois through the mailing address at 1601 PARKVIEW AVE, ROCKFORD, IL - 61107-1822 (mailing address contact number: 815-395-5861).

Location: 840 Blackhawk Blvd, South Beloit, IL, 61107-1822
institution
Provider Profile Details
NPI Number
1871905190
Provider Name
The Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
840 Blackhawk Blvd, South Beloit, IL, 61107-1822
Phone Number
815-395-5861
Fax Number
815-395-5575
Provider Enumeration Date
05/21/2014
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
840 Blackhawk Blvd
City
State
Zip
61080-2263
Phone Number
815-395-5861
Fax Number
815-395-5575
person
Provider Business Mailing Address Details
Address
1601 Parkview Ave
City
State
Zip
61107-1822
Phone Number
815-395-5861
Fax Number
815-395-5575
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
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Definition
Definition to come...
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