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Contact Information

THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS
1129 S HERMITAGE AVE
ROOM 101
CHICAGO, IL60612
 Phone: 312-355-4367
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

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

NPI Number 1336488055
LBN Legal business name THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS
Authorized official MARTIN WALSH - (EMS ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2013
Last updated 02/08/2016 - About 10 years ago
Identifiers
IL License # 11 8150
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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