Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Family Nurse Practitioner · Chicago, IL

NPI number 1104073899 Active

Practice location

2233 W Division St
Chicago, IL 60622-8151

Call (312) 770-2000 Map

Mailing address

845 South Damen Avenue, Mc 802
Chicago, IL 60612-7350

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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About NPI 1104073899

The Board of Trustees of the University of Illinois's National Provider Identifier is 1104073899, issued on Aug 25, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 25, 2008.