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Contact Information

BOARD OF TRUSTEES FO THE UNIVERSITY OF ILLINOIS
4630 S BISHOP ST
CHICAGO, IL60609-3240
 Phone: 773-579-9401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for BOARD OF TRUSTEES FO THE UNIVERSITY OF ILLINOIS

NPI Number 1578039939
LBN Legal business name BOARD OF TRUSTEES FO THE UNIVERSITY OF ILLINOIS
Authorized official HENRY TAYLOR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2018
Last updated 10/25/2018 - About 8 years ago
Identifiers
Other 1622185 BCBS PROVIDER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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