The Board of Trustees of the University of Illinois
The Board of Trustees of the University of Illinois is a Federally Qualified Health Center (FQHC) in Chicago, Illinois. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
3240 W Division StChicago, IL 60651-2405
Phone: (312) 413-7425
Fax: (312) 996-3512
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1841614609 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elizabeth Raleigh — Director · (312) 996-7663 |
| Other names | Integrated Health Care - Aviva |
| NPI enumerated | February 13, 2014 |
| Last updated in NPPES | January 22, 2016 |
| Mailing address | 845 S Damen Ave, M/C 802, Chicago, IL 60612-3727 |
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