THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS


Address: 3240 W Division St, Chicago, IL 60651-2405
Phone: 3124137425

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1841614609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841614609
Entity Type Organization
Organization Name THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Organization Name INTEGRATED HEALTH CARE - AVIVA
Practice Address 3240 W Division St
Chicago
IL 60651-2405
Mailing Address 845 S Damen Ave
M/c 802
Chicago
IL 60612-3727
Practice Telephone 3124137425
Practice Fax Number 3129963512
Mailing Telephone 3129967663
Mailing Fax Number 3129963512
Enumeration Date 2014-02-13
Last Update Date 2016-01-22
Authorized Official Name ELIZABETH M RALEIGH (DIRECTOR)
Authorized Official Telephone 3129967663
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 1622185 01

Other Provider/Organization Names

Other Name Type Code
Integrated Health Care - AVIVA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
1043727571 The Board of Trustees of The University of Illinois Clinic/Center 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 2018-01-05
1871905190 The Board of Trustees of The University of Illinois Clinic/Center 840 Blackhawk Blvd, South Beloit, IL 61080-2263 2014-05-21
1932450160 The Board of Trustees of The University of Illinois Clinic/Center 3050 W 39th Pl, Chicago, IL 60632-2402 2012-09-27
1346596327 The Board of Trustees of The University of Illinois Clinic/Center 641 W. 63rd St, Uih-mile Square Health Center At Englewood, Chicago, IL 60621-2032 2012-07-27
1407166671 The Board of Trustees of The University of Illinois Clinic/Center 4747-51 West Cermak Rd, Uih-mile Square Health Center At Cicero, Cicero, IL 60804-2508 2010-10-20
1659501500 The Board of Trustees of The University of Illinois Durable Medical Equipment & Medical Supplies 811 S Paulina St, 118 Dent, Mc 588, Chicago, IL 60612-4353 2009-07-24
1518194364 The Board of Trustees of The University of Illinois Clinic/Center 1231 S Damen Ave, Chicago, IL 60608-1145 2009-06-19
1457523219 The Board of Trustees of The University of Illinois Clinic/Center 4630 South Bishop Street, Uih-mile Square Health Center At Back of The Yards, Chicago, IL 60609-3240 2008-04-01
1205022506 The Board of Trustees of The University of Illinois Clinic/Center 1110 W Belmont Ave, Ihc Thresholds Mothers Program, Chicago, IL 60657-3313 2007-09-20

Office Location

Street Address 3240 W DIVISION ST
City CHICAGO
State IL
Zip Code 60651-2405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316595747 Michael Anthony Huyck Registered Nurse 3240 W Division St, Chicago, IL 60651-2405 2019-08-28
1316506082 Janey Eden Kottler Registered Nurse 3240 W Division St, Chicago, IL 60651-2405 2019-06-06
1255803045 Bernard J Vonderhaar Nurse Practitioner 3240 W Division St, Chicago, IL 60651-2405 2018-12-18
1972079358 Board of Trustees of The University of Illinois Case Management 3240 W Division St, Chicago, IL 60651-2405 2018-10-23
1518465632 Elizabeth Bolanos Nurse Practitioner 3240 W Division St, Chicago, IL 60651-2405 2018-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215474978 Kanesha Walker Amaro Counselor 5910 W Division, Chicago, IL 60651 2017-01-19
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
1326596321 Giselle Tisha Wallace Nurse's Aide 5809 W Rice, Chgo, IL 60651 2016-09-19
1811385214 Jeanette Rodriguez Social Worker 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 2015-01-07
1801147475 Diane Dickens-rogers Massage Therapist 5700 W. Chicago Ave., Chicago, IL 60651 2012-09-24
1891045241 Association House of Chicago Residential Treatment Facility, Emotionally Disturbed Children 1900 North Sawyer Avenue, Chicago, IL 60651 2012-09-13
1770860983 Christine C Osborne Pharmacist 1541 N.central Ave, Chicago, IL 60651 2011-11-16
1629206388 Habilitative Systems Inc Case Management 1049 N Drake Ave, Chicago, IL 60651 2009-07-01
1841428547 Habilitative Systems, Inc. Case Management 4234 W Potomac Ave, Chicago, IL 60651 2009-07-01
1306074000 Habilitative Systems, Inc Case Management 915 N Massasoit Ave, Chicago, IL 60651 2009-07-01
Find all providers in zip 60651

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724390 Friend Family Health Center, Inc Clinic/Center 7355 S Jeffery Blvd, Chicago, IL 60649-3121 2020-06-11
1871117937 Primecare Community Health Inc Clinic/Center 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 2020-06-04
1407482219 Access Community Health Network Clinic/Center 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 2020-03-13
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
1114498540 Pcc Community Wellness Center Clinic/Center 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 2018-12-11
1427523125 Howard Brown Health Center Clinic/Center 3533 W North Ave Ste 1, Chicago, IL 60647-7573 2018-10-09
1336626936 Heartland International Health Center Clinic/Center 1631 W Jonquil Ter, Chicago, IL 60626-1103 2018-07-26
1760975304 Inner-city Muslim Action Network Clinic/Center 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 2018-06-08
1417473851 Howard Brown Health Center Clinic/Center 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 2017-08-17
1487193181 Mile Square Englewood/cook Satellite Health and Wellness Center Clinic/Center 8150 S Bishop St, Chicago, IL 60620-3854 2017-02-15
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60651

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Dataset Information

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.

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