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 2007.
- In the registry since
- 2007
Practice location Address checks out
4219 N Lincoln Ave Ihc Thresholds Young Adult Program 3rd FlChicago, IL 60618-2901
Phone: (312) 996-9354
Fax: (312) 996-7725
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1932395233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Nicholas — Executive Director Medical Plan Uic · (312) 413-0573 |
| Other names | Mile Square - Ihc Thresholds North |
| NPI enumerated | September 20, 2007 |
| Last updated in NPPES | July 22, 2009 |
| Mailing address | 4219 N Lincoln Ave, Ihc Thresholds Young Adult Program, 3rd Floor, Chicago, IL 60618-2901 |
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