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

The Board of Trustees of University of Illinois

Organization Pediatrics Physician · NPI 1144093006

The Board of Trustees of University of Illinois is a Pediatrics Physician in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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Practice location Address checks out

751 S Sacramento Blvd
Chicago, IL 60612-3365
Phone: (312) 413-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Pediatrics Physician Taxonomy 208000000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1144093006
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Board of Trustee for the University of Illinois
Authorized official Carolyn Dickens — Interim Associate Dean · (312) 413-8850
Other names Ui Health Wellness Clinic At Altus Academy
NPI enumeratedNovember 2, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing address845 S Damen Ave, Chicago, IL 60612-3727

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