National Provider Identifier Database

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1059 W 13TH ST
CHICAGO, IL60608-1526
Phone: 312-996-2000
Fax: 312-413-1782
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

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

NPI Number 1790704484
Legal business name
LBN
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official INN LEE - (ASSOCIATE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 07/19/2006
Last updated 02/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1622185 BCBS PROVIDER ID

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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