Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Board of Trustees of the University of Illinois

Organization Dentist · NPI 1992873921

Board of Trustees of the University of Illinois is a Dentist in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
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Practice location Address checks out

801 S Paulina St Mc 621
Chicago, IL 60612-7210
Phone: (312) 996-7555
Fax: (312) 355-3864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1640 W Roosevelt Rd, Chicago, IL 60608-1316 — (312) 996-7555

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1992873921
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBoard of Trustees of the University of Illinois
Authorized official David Clark — Associate Dean For Patient Services · (312) 996-3544
Other names Uic College Of Dentistry; Uic College Of Dentistry
NPI enumeratedNovember 30, 2006
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address801 S Paulina St, Mc 621, Chicago, IL 60612-7210

Other providers in Chicago