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 1760400170
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 1760400170. The last update date is 2015-12-17.
The Board Of Trustees Of The University Of Illinois's current location address is 7131 S. Jeffrey Blvd, Chicago, Illinois. You can contact this provider via phone number 7732560526 and fax number 3124137812. The mailing address for The Board Of Trustees Of The University Of Illinois is 7131 S. Jeffrey Blvd, 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 | 7131 S. Jeffrey Blvd, Chicago, Illinois |
| Phone Number | 7732560526 |
| 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 | 1760400170 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2015-12-17 |
Provider Mailing Address Detail
| Address | 7131 S. Jeffrey Blvd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606492497 |
| Phone Number | 7732560526 |
| 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 |
|---|---|---|---|
| BCBS PROVIDER | IL | 1622185 |
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) 1760400170 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the The Board Of Trustees Of The University Of Illinois located?
The The Board Of Trustees Of The University Of Illinois is located at 7131 S. Jeffrey Blvd, Chicago, IL 606492497.
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 1760400170 to The Board Of Trustees Of The University Of Illinois?
The Centers for Medicare & Medicaid Services originally issued the 1760400170 to The Board Of Trustees Of The University Of Illinois on 2006-07-17.
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 2015-12-17.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV