Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1427600345 Active

Practice location

6835 S Normal Blvd
Chicago, IL 60621-2535

Call (312) 355-5801 Map

Fax (312) 355-5802

Mailing address

818 S Wolcott Ave Ste 811
Chicago, IL 60612-3702

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 1427600345

The Board of Trustees of the University of Illinois's National Provider Identifier is 1427600345, issued on Jul 11, 2019. 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 Jul 11, 2019.