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 1598879819
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 1598879819. The last update date is 2008-08-01.
The Board Of Trustees Of The University Of Illinois's current location address is 734 W 47th St, Chicago, Illinois. You can contact this provider via phone number 3129969354 and fax number 3129967725. The mailing address for The Board Of Trustees Of The University Of Illinois is 734 W 47th St, 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 | 734 W 47th St, Chicago, Illinois |
| Phone Number | 3129969354 |
| Fax Number | 3129967725 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Nicholas R. William |
| Credentials | PHD |
| Telephone Number | 3124130573 |
NPI Number Detail
| NPI Number | 1598879819 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 734 W 47th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606094411 |
| Phone Number | 3129969354 |
| Fax Number | 3129967725 |
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 |
|---|---|---|---|
| 1634874 | IL | BC/BS | |
| 14-1072 | IL | MEDICARE CERTIFICATION |
Post Comment/ Review Below
What is the unique provider identifier assigned to The Board Of Trustees Of The University Of Illinois?
The The Board Of Trustees Of The University Of Illinois has been issued the NPI (National Provider Identifier) 1598879819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of The Board Of Trustees Of The University Of Illinois?
The The Board Of Trustees Of The University Of Illinois is situated at 734 W 47Th St, in the city of Chicago, state of IL, with the zip code 606094411.
What is The Board Of Trustees Of The University Of Illinois's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Board Of Trustees Of The University Of Illinois is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did The Board Of Trustees Of The University Of Illinois receive its 1598879819 assignment from the Centers for Medicare & Medicaid Services?
The The Board Of Trustees Of The University Of Illinois was assigned its 1598879819 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding The Board Of Trustees Of The University Of Illinois, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Board Of Trustees Of The University Of Illinois, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-01.
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