Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1760400170 Active

Practice location

7037 S. Stony Island, Uih-Mile Square Health Center At South Shore
Chicago, IL 60649

Call (773) 256-0526 Map

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) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

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NPI record

NPI: 1760400170
Entity type: Organization (Type 2)
Issued: Jul 17, 2006
Last updated: Jul 10, 2025
Status: Active
Subpart: Yes of The Board of Trustees of the University of

Other names

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Uih-Mile Square Health Center at South Shore · doing business as

Authorized official

Mr. Timothy Stecker
CFO
(312) 355-7653

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About NPI 1760400170

The Board of Trustees of the University of Illinois's National Provider Identifier is 1760400170, issued on Jul 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 Jul 10, 2025.