Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Psychiatry Physician · Chicago, IL

NPI number 1609822147 Active

Practice location

912 S Wood St
Chicago, IL 60612-4300

Call (312) 413-3783 Map

Fax (312) 996-3514

Mailing address

7825 Solution Center
Chicago, IL 60677-7008

Other practice locations

1747 W Roosevelt Rd, Chicago, IL 60608-1264 · (312) 996-2200
1740 W Taylor St, Chicago, IL 60612-7232 · (866) 600-2273

Specialties and licenses

Taxonomy	Code	License
Clinical Neuropsychologist	103G00000X	None listed
Clinical Psychologist	103TC0700X	None listed
Clinical Child & Adolescent Psychologist	103TC2200X	None listed
Clinical Social Worker	1041C0700X	None listed
Psychiatry Physician Primary	2084P0800X	None listed
Addiction Psychiatry Physician	2084P0802X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Nurse Practitioner	363L00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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NPI record

NPI: 1609822147
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Sep 25, 2026
Status: Active

Other names

<unavail>
Department of Psychiatry · doing business as
Uic Department of Psychiatry · doing business as

Authorized official

Silvia Avila
Director of Revenue Cycle
(312) 413-7590

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609822147

The Board of Trustees of the University of Illinois's National Provider Identifier is 1609822147, issued on May 26, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 25, 2026.