THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1659501500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659501500 |
| Entity Type | Organization |
| Organization Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Other Organization Name | UIC MAXILLOFACIAL PROSTHETICS CLINIC |
| Practice Address |
811 S Paulina St 118 Dent, Mc 588 Chicago IL 60612-4353 |
| Mailing Address |
1740 W Taylor St # Mc693 Chicago IL 60612-7232 |
| Practice Telephone | 3129966933 |
| Practice Fax Number | 3123554173 |
| Mailing Telephone | 3129963620 |
| Mailing Fax Number | 3129960850 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MR. LAURENCE APPEL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3129963620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| UI HEALTH CRANIOFACIAL PROSTHETIC CLINIC | Doing Business As Name - Organization |
| UIC Maxillofacial Prosthetics Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
| Street Address |
811 S PAULINA ST 118 DENT, MC 588 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183158 | Stacy Nicole Cash | Speech-Language Pathologist | 811 S Paulina St, Chicago, IL 60612-4353 | 2020-04-23 |
| 1598197485 | Camille Ann Rea | Anaplastologist | 811 S Paulina St, Suite 180, Chicago, IL 60612-4353 | 2013-08-02 |
| 1093157356 | Rosemary Seelaus | Anaplastologist | 811 S Paulina St, Chicago, IL 60612-4353 | 2013-07-26 |
| 1457661415 | Ellyn Mcnamara | Speech-Language Pathologist | 811 S Paulina St, Chicago, IL 60612-4353 | 2010-10-08 |
| 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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1851785224 | Floss Dental Studio PC | Durable Medical Equipment & Medical Supplies | 924 N Damen Ave, Chicago, IL 60622-4948 | 2015-03-24 |
| 1972926012 | Mts Direct Inc | Durable Medical Equipment & Medical Supplies | 4734 S Prairie Ave Unit 1, Chicago, IL 60615-1206 | 2014-01-24 |
| 1053549402 | Crowning Glory Lace Wigs | Durable Medical Equipment & Medical Supplies | 8100 S Stony Island Ave, Unit F, Chicago, IL 60617-1734 | 2009-06-24 |
| 1124286927 | Footco Orthopedic | Durable Medical Equipment & Medical Supplies | 3723 N Southport Ave, Chicago, IL 60613-3718 | 2008-05-28 |
| 1528250669 | Premier Podiatry Services, Ltd | Durable Medical Equipment & Medical Supplies | 6374 N Lincoln Ave Ste 303, Chicago, IL 60659-1283 | 2007-08-13 |
| 1083769202 | Luna Medical Inc. | Durable Medical Equipment & Medical Supplies | 1057 W Grand Ave Ste 1, Chicago, IL 60642-6600 | 2007-01-25 |
| 1629146014 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 2240 W Walnut St, Chicago, IL 60612-2218 | 2006-12-01 |
| 1568417319 | Absolute Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1843 W Hubbard St, Suite 2a, Chicago, IL 60622-6236 | 2006-05-23 |
| 1457897332 | Maria Therese Galang Dmd Ms P C | Durable Medical Equipment & Medical Supplies | 111 N Wabash Ave, Ste 1522, Chicago, IL 60602 | 2017-01-16 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on THE BOARD OF TRUSTEES OF THE 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.