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

The Board of Trustees of the University of Illinois

Organization Internal Medicine Physician · NPI 1588815401

The Board of Trustees of the University of Illinois is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3

Practice location Address checks out

3656 N Halsted St
Chicago, IL 60613-5974
Phone: (734) 726-4697
Fax: (312) 413-2588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Internal Medicine Physician Taxonomy 207R00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1588815401
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBoard of Trustees of the University of Illinois
Authorized official Walter Knorr — Comptroller · (312) 996-8800
Other names Uic Nursing Faculty Practice And Partnerships
NPI enumeratedOctober 9, 2008
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address845 S Damen Ave, M/C 802 Room 920, Chicago, IL 60612-3727

Other providers in Chicago