UNIVERSITY OF ILLINOIS (NPI# 1659431351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659431351 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ILLINOIS |
| Practice Address |
2815 W Washington Suite 300 Springfield IL 62794-9481 |
| Mailing Address |
2815 W Washington P O Box 19481 Springfield IL 62794-9481 |
| Practice Telephone | 2177932350 |
| Practice Fax Number | 2177930773 |
| Mailing Telephone | 2177932350 |
| Mailing Fax Number | 2177930773 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES ONUFER (DIRECTOR) |
| Authorized Official Telephone | 2177932350 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409450 | University of Illinois | Audiologist | 2001 S Oak St Ste B, Champaign, IL 61820-0912 | 2006-08-03 |
| 1962475996 | University of Illinois | Obstetrics & Gynecology | Dept. of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637-0001 | 2006-02-09 |
| 1174596225 | University of Illinois | Pediatrics | 515 Ne Glen Oak Ave, Pediatric Neurology, Peoria, IL 61603-3165 | 2006-02-09 |
| 1245203280 | University of Illinois | Psychiatry & Neurology | Department of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 | 2006-02-09 |
| 1568433050 | University of Illinois | Pediatrics | St Jude Midwest Affiliate, 530 Ne Glen Oak, Peoria, IL 61637-0001 | 2006-02-01 |
| 1619948411 | University of Illinois | Pediatrics | Regional Development Center, 507 E Armstrong, Peoria, IL 61603 | 2006-01-30 |
| 1275817249 | University of Illinois | General Acute Care Hospital | 611 W Park St, Carle Forum, Urbana, IL 61801-2500 | 2011-10-07 |
| 1871725028 | University of Illinois | Internal Medicine | 840 S Wood St, Department of Medicine, M/c 787, Chicago, IL 60612-4325 | 2009-08-20 |
| 1962631010 | University of Illinois | Psychologist | 1747 W Roosevelt Rd, Chicago, IL 60608-1264 | 2009-07-10 |
| 1205002185 | University of Illinois | General Acute Care Hospital | 611 W Park St, Carle Forum Lower Level, Urbana, IL 61801-2500 | 2008-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF ILLINOIS | 809 S Marshfield 9th Flr, Chicago, IL 60612-4305 |
| Oklahoma Business Registrations | UNIVERSITY OF ILLINOIS FOUNDATION | 1305 West Green St, Urbana, IL 61801 |
| System for Award Management (SAM) Entities | UNIVERSITY OF ILLINOIS RESEARCH PARK, LLC | 60 Hazelwood Dr, Champaign, IL 61820-7460 |
| Street Address |
2815 W WASHINGTON SUITE 300 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62794-9481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1851646566 | Kenneth David Illingworth | Orthopaedic Surgery | 301 N 8th St Pav 3a158, Springfield, IL 62794 | 2012-07-18 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1205810082 | Michael R Pranzatelli | Psychiatry & Neurology | Southern Illinois University Healthcare Administration, Springfield, IL 62794 | 2005-12-05 |
| 1346735065 | Pooja Sheth-dutt | Family Medicine | 520 N 4th St, Springfield, IL 62794 | 2018-06-25 |
| 1558511519 | John Wang | Emergency Medicine | 520 North Fourth Street, Springfield, IL 62794 | 2008-09-26 |
| 1750645263 | Schuyler Whitney Stone | Internal Medicine | 701 North 1st Street, Springfield, IL 62794-9636 | 2012-06-28 |
| 1083695811 | John Mark Ruscin | Pharmacist | 701 N. First Street, Springfield, IL 62794-9636 | 2005-11-09 |
| 1053750851 | Ashley Patricia Macdonald | Family Medicine | 520 N Fourth St, Springfield, IL 62794-9670 | 2013-06-14 |
| 1386759264 | David Buoy Graham | Family Medicine | 520 North 4th Street, Springfield, IL 62794-9670 | 2006-08-20 |
| Find all providers in zip 62794 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598208746 | Burnett Body Mechanics LLC | Public Health or Welfare | 1948e S Glenstone Ave, Suite 105, Springfield, MO 65804-2364 | 2016-11-21 |
| 1831407774 | State of Tennessee | Public Health or Welfare | 900 S Brown St, Springfield, TN 37172-2921 | 2010-09-14 |
| 1093039554 | Effingham County Board of Health | Public Health or Welfare | 802 Highway 119 South, Springfield, GA 31329-0350 | 2010-03-26 |
| 1184895500 | County of Sangamon | Public Health or Welfare | 2833 South Grand Avenue East, Springfield, IL 62703 | 2008-03-13 |
| 1033312913 | Nami of Clark County | Public Health or Welfare | 224 East St Rear, Springfield, OH 45505-1110 | 2007-06-07 |
| 1851440622 | Little Lambs Developmental Therapy, Inc. | Public Health or Welfare | 3009 Summerwood Dr, Springfield, IL 62712-5862 | 2007-01-09 |
| 1992878102 | City of Springfield | Public Health or Welfare | 95 State Street, Springfield, MA 01103-2000 | 2006-11-16 |
| 1881776615 | Springfield Metropolitan Housing Authority | Public Health or Welfare | 526 N Murray St, Springfield, OH 45503-4153 | 2006-10-20 |
| 1154415032 | Clark County Educational Service Center | Public Health or Welfare | 30 Warder St., Suite 120, Springfield, OH 45504-2580 | 2006-10-03 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62794 |
Please comment or provide details below to improve the information on UNIVERSITY OF ILLINOIS.
| 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.