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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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1659021350
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Provider Business Mailing Address
First Line : 7702 SOLUTION CENTER
Second Line :
City : CHICAGO
State : IL
Zip : 60677-7007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7037 S STONY ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60649-1905
Country : US
Telephone Number : 312-996-2000
Fax Number :
Authorized Official
Title or Position : CEO
Name : HENRY TAYLOR
Credential :
Telephone Number : 312-413-1832
Provider Enumeration Date : 03/25/2022
Last Update Date : 03/25/2022

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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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