Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Cicero, IL

NPI number 1407166671 Active

Practice location

4747-51 West Cermak Rd, Uih-Mile Square Health Center At Cicero
Cicero, IL 60804-2508

Fax (312) 413-7812

Mailing address

1220 S. Wood Street, Uih-Mile Square Health Center
Chicago, IL 60608-1202

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 1407166671

The Board of Trustees of the University of Illinois's National Provider Identifier is 1407166671, issued on Oct 20, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cicero, IL. The record was last updated on Jun 27, 2025.