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Contact Information

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
912 S WOOD ST
CHICAGO, IL60612-4300
 Phone: 312-355-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

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

NPI # 1316537889
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2021
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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