The Board of Trustees of the University of Illinois
The Board of Trustees of the University of Illinois is a Clinic/Center in Chicago, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1640 W Roosevelt Rd Mc 727Chicago, IL 60608-6904
Phone: (312) 413-1871
Fax: (312) 413-1593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1801920186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Board of Trustees of the University of Illinois |
| Authorized official | Kailas Sanghani — Director Of Finance · (312) 413-1350 |
| Other names | Uic Dhd Family Clinic; Uic Dhd Family Clinic |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | May 18, 2022 |
| Certification date | May 18, 2022 |
| Mailing address | 1640 W. Roosevelt Rd Mc 727, Chicago, IL 60608-6904 |
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