Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1356367304 Active

Practice location

55 W Cermak Rd
Chicago, IL 60616-2001

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

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

3 other providers at this address

Board of Trustees of the University of IllinoisCase Management Agency Chicago, IL NPI 1790252047
Denise Ann Weitzel, LCSWClinical Social Worker Chicago, IL NPI 1215101274
Stephen J. Bord, L.C.S.W.Clinical Social Worker Chicago, IL NPI 1609187137

Other federally qualified health center (fqhc) providers in Chicago

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NPI record

NPI: 1356367304
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Nov 14, 2024
Status: Active
Subpart: Yes of Board of Trustees of the University of Illinois

Other names

<unavail>
National Teachers Academy Clinic · doing business as

Authorized official

Mr. Henry Taylor
Executive Director
(312) 413-1261

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About NPI 1356367304

The Board of Trustees of the University of Illinois's National Provider Identifier is 1356367304, 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 Nov 14, 2024.