Organization · Type 2 NPI
The Board of Trustees of the University of Illinois
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1124787908
Active
Practice location
4634 S Bishop St
Chicago, IL 60609-3240
Mailing address
1220 S Wood St
Chicago, IL 60608-1202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1124787908
The Board of Trustees of the University of Illinois's National Provider Identifier is 1124787908, issued on Dec 9, 2021. 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 Jun 27, 2025.