THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS


Address: 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612
Phone: 3129967420

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1043727571) 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) 1043727571
Entity Type Organization
Organization Name THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Organization Name OCCUPATIONAL HEALTH SERVICE INSTITUTE (OHSI)
Practice Address 835 S. Wolcott
Suite E-144; Mc 684
Chicago
IL 60612
Practice Telephone 3129967420
Practice Fax Number 3124138485
Mailing Telephone 3129967420
Mailing Fax Number 3124138485
Enumeration Date 2018-01-05
Last Update Date 2018-01-05
Authorized Official Name PETER ORRIS (PROFESSOR AND CHIEF OF SERVICE)
Authorized Official Telephone 3129967420
Authorized Official Credential MD, MPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Occupational Health Service Institute (OHSI) 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
1871905190 The Board of Trustees of The University of Illinois Clinic/Center 840 Blackhawk Blvd, South Beloit, IL 61080-2263 2014-05-21
1841614609 The Board of Trustees of The University of Illinois Clinic/Center 3240 W Division St, Chicago, IL 60651-2405 2014-02-13
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 835 S. WOLCOTT
SUITE E-144; MC 684
City CHICAGO
State IL
Zip Code 60612

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1104460922 Infinite Care Home Physicians LLC Clinic/Center 6044 N Nassau Ave, Chicago, IL 60631-2649 2019-11-05
1962051607 Wilkes Post Acute Care Inc Clinic/Center 400 W 76th St Ste 303, Chicago, IL 60620-1640 2019-09-05
1861964959 Midway Medical Clinic/Center 2 W 103rd St, Chicago, IL 60628-2619 2018-12-30
1386099562 Healthworks Medical Group of Illinois S C Clinic/Center Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 2016-04-26
1235584475 Healthworks Medical Group of Illinois S C Clinic/Center Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 2016-04-25
1689904039 Prime Care Medical and Physical Therapy Centers, S.c. Clinic/Center 1719 W 18th St, Chicago, IL 60608-1913 2010-01-07
1790938249 Healing Hands Resource Center Clinic/Center 3143 W Douglas Blvd, Chicago, IL 60623-1816 2008-10-28
1770739591 Alivio Medical Center Inc Clinic/Center 3120 S Kostner Ave, Chicago, IL 60623-4842 2008-08-12
1851560866 Stepping Stones Pediatric Therapy, LLC Clinic/Center 2645 N Southport Ave # 2, Chicago, IL 60614-1227 2008-02-22
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Competitor

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City CHICAGO
Zip Code 60612

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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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