Board of Trustees of the University of Illinois
Board of Trustees of the University of Illinois is a Federally Qualified Health Center (FQHC) in Chicago, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1059 W 13th StChicago, IL 60608-1526
Phone: (312) 996-2000
Fax: (312) 413-1782
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1790704484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Board of Trustees of the University of Illinois |
| Authorized official | Inn Lee — Associate Director · (312) 413-9854 |
| Other names | Smyth Joyner School Based Clinic |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | February 21, 2008 |
| Mailing address | 2045 W Washington Blvd, M/C 698, Chicago, IL 60612-2428 |
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