The Board Of Trustees Of The University Of Illinois in Chicago - Federally Qualified Health Center (fqhc)
The Board Of Trustees Of The University Of Illinois - NPI 1457523219
The Board Of Trustees Of The University Of Illinois is a Federally Qualified Health Center (fqhc) in Chicago, Illinois. The Board Of Trustees Of The University Of Illinois practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for The Board Of Trustees Of The University Of Illinois is 1457523219. The last update date is 2015-12-17.
The Board Of Trustees Of The University Of Illinois's current location address is 4630 South Bishop Street, Chicago, Illinois. You can contact this provider via phone number 7735799401 and fax number 3124137812. The mailing address for The Board Of Trustees Of The University Of Illinois is 4630 South Bishop Street, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Address | 4630 South Bishop Street, Chicago, Illinois |
| Phone Number | 7735799401 |
| Fax Number | 3124137812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Taylor Henry |
| Telephone Number | 3124131261 |
NPI Number Detail
| NPI Number | 1457523219 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2015-12-17 |
Provider Mailing Address Detail
| Address | 4630 South Bishop Street |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606093240 |
| Phone Number | 7735799401 |
| Fax Number | 3124137812 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1622185 | IL | BCBS PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to The Board Of Trustees Of The University Of Illinois by the Centers for Medicare & Medicaid Services?
The The Board Of Trustees Of The University Of Illinois has been assigned the NPI (National Provider Identifier) 1457523219 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where The Board Of Trustees Of The University Of Illinois's facilities are geographically located?
The facilities of The Board Of Trustees Of The University Of Illinois are physically situated at the following location: 4630 South Bishop Street, Chicago, IL, 606093240.
What is The Board Of Trustees Of The University Of Illinois's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for The Board Of Trustees Of The University Of Illinois is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457523219 to The Board Of Trustees Of The University Of Illinois?
The Centers for Medicare & Medicaid Services assigned the 1457523219 to The Board Of Trustees Of The University Of Illinois on 2008-04-01.
As of what date were the details pertaining to The Board Of Trustees Of The University Of Illinois last refreshed?
The information related to the The Board Of Trustees Of The University Of Illinois, including its address, specialty, and other relevant details, was last updated on 2015-12-17.
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