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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

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

NPI # 1790704484
LBN Legal business name BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official INN LEE - (ASSOCIATE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/19/2006
Last updated 02/21/2008 - About 18 years ago
Identifiers
Other 1622185 BCBS PROVIDER ID
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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