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Contact Information

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO, IL60612-7232
 Phone: 312-996-4020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS · (Female)

NPI # 1891913638
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2007
Last updated 01/20/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 01620974 BCBS GROUP
  • IL Other CK0064 RAILROAD GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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