Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1598879819 Active

Practice location

734 W 47th St
Chicago, IL 60609-4411

Call (312) 996-9354 Map

Fax (312) 996-7725

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 1598879819

The Board of Trustees of the University of Illinois's National Provider Identifier is 1598879819, issued on Aug 17, 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 Aug 1, 2008.