Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1356000236 Active

Practice location

839 W 79th St
Chicago, IL 60620-2501

Call (312) 996-2000 Map

Mailing address

1220 S Wood St
Chicago, IL 60608-1202

Specialties and licenses

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

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

5 other providers at this address

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About NPI 1356000236

The Board of Trustees of the University of Illinois's National Provider Identifier is 1356000236, issued on Dec 8, 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.