BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

NPI # 

Practice Address:

1059 W 13Th St

Chicago, IL, 60608-1526

Practice Phone:

312-996-2000

Practice Fax:

312-413-1782

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X

Updated by NPPES on 2/21/2008. You can view the original data set for NPI # 1790704484 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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