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NPI Code Detail

MEDICARE: THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

MEDICARE: THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273R00000XPsychiatric Hospital Unit

General Provider Information

NPI Number : 1073552022
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Provider Business Mailing Address
First Line : 1740 W TAYLOR ST # MC693
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-996-3620
Fax Number : 312-996-0850
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number : 312-996-1001
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. LAURENCE APPEL
Credential :
Telephone Number : 312-996-3620
Provider Enumeration Date : 06/05/2006
Last Update Date : 12/08/2025

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Directions to “THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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