Organization · Type 2 NPI

The Board of Trustees of the University of Illinois

Clinic/Center · Chicago, IL

NPI number 1801920186 Active

Practice location

1640 W. Roosevelt Rd Mc 727
Chicago, IL 60608-6904

Fax (312) 413-1593

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in Chicago

See all in Chicago →

NPI record

NPI: 1801920186
Entity type: Organization (Type 2)
Issued: Mar 16, 2007
Last updated: May 18, 2022
Status: Active
Subpart: Yes of Board of Trustees of the University of Illinois

Other names

<unavail>
Uic DHD Family Clinic · doing business as
Uic DHD Family Clinic · doing business as

Authorized official

Kailas Sanghani
Director of Finance
(312) 413-1350

Verify this record

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.

Is this your record? How to update it.

About NPI 1801920186

The Board of Trustees of the University of Illinois's National Provider Identifier is 1801920186, issued on Mar 16, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on May 18, 2022.