Organization · Type 2 NPI
The Board of Trustees of the University of Illinois
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1457523219
Active
Practice location
4630 South Bishop Street, Uih-Mile Square Health Center At Back Of The Yards
Chicago, IL 60609-3240
Fax (312) 413-7812
Mailing address
1220 S. Wood Street, Uih-Mile Square Health Center
Chicago, IL 60608-1202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1457523219
The Board of Trustees of the University of Illinois's National Provider Identifier is 1457523219, issued on Apr 1, 2008. 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.