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

The Board of Trustees of the University of Illinois

Organization Physical Medicine & Rehabilitation Physician · NPI 1407307812

The Board of Trustees of the University of Illinois is a Physical Medicine & Rehabilitation Physician in Chicago, Illinois. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

1640 W Roosevelt Rd Rm 336
Chicago, IL 60608-1316
Phone: (312) 413-8043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1407307812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bo Fernhall — Dean, Applied Health Sciences · (312) 996-6695
Other names Uic Healthspan Faculty Practice; Uic Healthspan Faculty Practice
NPI enumeratedOctober 20, 2016
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address5254 Solution Center, Chicago, IL 60677-0001

Other providers in Chicago