Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1033135041 Active

Practice location

2102 W Monroe St
Chicago, IL 60612-3015

Call (312) 996-2000 Map

Fax (312) 413-1782

Mailing address

2045 W Washington Blvd, M/c 698
Chicago, IL 60612-2428

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1033135041

The Board of Trustees of the University of Illinois's National Provider Identifier is 1033135041, issued on Jul 14, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Aug 4, 2008.