Healthcare Provider Details

I. General information

NPI: 1487895694
Provider Name (Legal Business Name): THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 W TAYLOR ST SUITE 3.164
CHICAGO IL
60612-7242
US

IV. Provider business mailing address

7712 SOLUTION CENTER
CHICAGO IL
60677-0001
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-5410
  • Fax:
Mailing address:
  • Phone: 312-996-3620
  • Fax: 312-996-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LAURENCE APPEL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 312-996-3620