National Provider Identifier Database

NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES
Student Health


Contact Information

NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES
518 LUCINDA AVE
HEALTH SERVICES BUILDING
DEKALB, IL60115
Phone: 815-753-1311
Fax: 815-753-9570
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES

NPI Number 1275688160
Legal business name
LBN
NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES
Authorized official CHRISTINE GRADY - (DIRECTOR, HEALTH SERVICES)
Entity Organization
Organization subpart No
Enumeration date 01/24/2007
Last updated 04/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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