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 1669493466
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 1669493466. The last update date is 2015-12-17.
The Board Of Trustees Of The University Of Illinois's current location address is 1220 S. Wood Street, Chicago, Illinois. You can contact this provider via phone number 3124131261 and fax number 3124137812. The mailing address for The Board Of Trustees Of The University Of Illinois is 1220 S. Wood 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 | 1220 S. Wood Street, Chicago, Illinois |
| Phone Number | 3124131261 |
| 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 | 1669493466 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2015-12-17 |
Provider Mailing Address Detail
| Address | 1220 S. Wood Street |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606081202 |
| Phone Number | 3124131261 |
| 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 identifier code issued to The Board Of Trustees Of The University Of Illinois by the Centers for Medicare & Medicaid Services (CMS)?
The The Board Of Trustees Of The University Of Illinois has been assigned the NPI (National Provider Identifier) 1669493466. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where The Board Of Trustees Of The University Of Illinois is physically located?
The The Board Of Trustees Of The University Of Illinois is situated at the following address: 1220 S. Wood Street, Chicago, IL 606081202.
What is The Board Of Trustees Of The University Of Illinois's specialized field of practice, and what is the corresponding taxonomy classification code?
The The Board Of Trustees Of The University Of Illinois's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669493466 to The Board Of Trustees Of The University Of Illinois?
The Centers for Medicare & Medicaid Services originally issued the 1669493466 to The Board Of Trustees Of The University Of Illinois on 2006-07-21.
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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