BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1558837922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558837922 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Other Organization Name | UIH-MILE SQUARE HEALTH CENTER AT ENGLEWOOD IHH |
| Practice Address |
641 W 63rd St Chicago IL 60621-2032 |
| Mailing Address |
1220 S Wood St Chicago IL 60608-1202 |
| Practice Telephone | 3124134070 |
| Mailing Telephone | 3124131261 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | MR. HENRY TAYLOR (CEO) |
| Authorized Official Telephone | 3124131261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER | 1622185 | 01 |
| Other Name | Type Code |
|---|---|
| UIH-Mile Square Health Center at Englewood IHH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720555147 | Board of Trustees of The University of Illinois | Case Management | 3014 W 39th Pl, Chicago, IL 60632-2402 | 2018-10-24 |
| 1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
| 1790704484 | Board of Trustees of The University of Illinois | Clinic/Center | 1059 W 13th St, Chicago, IL 60608-1526 | 2006-07-19 |
| 1467425322 | Board of Trustees of The University of Illinois | Internal Medicine | Medical Service Plan, One Illini Dr, Peoria, IL 61656 | 2006-02-10 |
| 1790252047 | Board of Trustees of The University of Illinois | Case Management | 55 W Cermak Rd, Chicago, IL 60616-2001 | 2018-10-25 |
| 1295202554 | Board of Trustees of The University of Illinois | Case Management | 1628 W Washington Blvd, Chicago, IL 60612-2613 | 2018-10-25 |
| 1972070225 | Board of Trustees of The University of Illinois | Case Management | 2641 S Calumet Ave, Chicago, IL 60616-2901 | 2018-10-25 |
| 1720554264 | Board of Trustees of The University of Illinois | Case Management | 1220 S Wood St, Chicago, IL 60608-1202 | 2018-10-23 |
| 1770059156 | Board of Trustees of The University of Illinois | Case Management | 8131 S May St, Chicago, IL 60620-3007 | 2018-10-23 |
| 1184190548 | Board of Trustees of The University of Illinois | Case Management | 7037 S Stony Island Ave, Chicago, IL 60649-1905 | 2018-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | 809 S Marshfield Ave Rm214, Chicago, IL 60612-4305 |
| System for Award Management (SAM) Entities | BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS, THE | 364 Henry Administration Bldg, Urbana, IL 61801 |
| Street Address |
641 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595256 | City of Chicago | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2005-08-15 |
| 1215553557 | Coketha Samyra Jean Hendricks | Social Worker | 641 W 63rd St, Chicago, IL 60621-2032 | 2020-06-23 |
| 1508425083 | Nakia Monique Campbell | Nurse Practitioner | 641 W 63rd St, Chicago, IL 60621-2032 | 2019-06-10 |
| 1043778004 | Coretta J Pruitt | Case Manager/Care Coordinator | 641 W 63rd St, Chicago, IL 60621-2032 | 2019-03-08 |
| 1548728686 | Kyndria Tisdale | Counselor | 641 W 63rd St, Chicago, IL 60621-2032 | 2019-03-07 |
| 1386126159 | Britt Elizabeth Hodgdon | Social Worker | 641 W 63rd St, Chicago, IL 60621-2032 | 2018-08-29 |
| 1750889945 | Kenya Spann | Counselor | 641 W 63rd St, Chicago, IL 60621-2032 | 2018-01-23 |
| 1447770060 | Caitlin Grace Williams | Psychologist | 641 W 63rd St, Chicago, IL 60621-2032 | 2017-06-24 |
| 1306292271 | Winnie Lin | Pediatrics | 641 W 63rd St, Chicago, IL 60621-2032 | 2016-05-10 |
| 1255791331 | Howard Brown Health Center | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505074 | Next Generation Child and Parent Center Nfp | Case Management | 1649 E 50th St Apt 2a, Chicago, IL 60615-6016 | 2020-10-12 |
| 1336758481 | Care Relief LLC | Case Management | 2323 W Pershing Rd Apt 221, Chicago, IL 60609-2230 | 2020-07-24 |
| 1336760156 | Sonarmd, Inc | Case Management | 350 N Orleans St Ste 9000, Chicago, IL 60654-1975 | 2020-05-04 |
| 1972140960 | Jasmine Healthcare Management LLC | Case Management | 1507 E 53rd St Unit 247, Chicago, IL 60615-4573 | 2019-12-09 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1790257004 | Children's Hospital of Chicago Medical Center | Case Management | 225 E Chicago Ave # 301, Chicago, IL 60611-2991 | 2018-12-27 |
| 1720555147 | Board of Trustees of The University of Illinois | Case Management | 3014 W 39th Pl, Chicago, IL 60632-2402 | 2018-10-24 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1689166985 | Ccsi-case Coordination LLC | Case Management | 70 E Lake St Ste 1600, Chicago, IL 60601-7446 | 2018-06-01 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.