THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1871905190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871905190 |
| Entity Type | Organization |
| Organization Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Other Organization Name | UNIVERSITY CLINIC AT SOUTH BELOIT - JUNIOR HIGH |
| Practice Address |
840 Blackhawk Blvd South Beloit IL 61080-2263 |
| Mailing Address |
1601 Parkview Ave Rockford IL 61107-1822 |
| Practice Telephone | 8153955861 |
| Practice Fax Number | 8153955575 |
| Mailing Telephone | 8153955861 |
| Mailing Fax Number | 8153955575 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | MR. MICHAEL HARNER (DIRECTOR OF FINANCIAL AFFAIRS) |
| Authorized Official Telephone | 8153955637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| University Clinic at South Beloit - Junior High | 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 |
| 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 |
| Street Address |
840 BLACKHAWK BLVD |
| City | SOUTH BELOIT |
| State | IL |
| Zip Code | 61080-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346762390 | Crusaders Central Clinic Association | Clinic/Center | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636907 | Teresa Ann Sambrook | Registered Nurse | 6605 Prairie Hill Road, South Beloit, IL 61080 | 2017-08-23 |
| 1497104335 | Nishant N Patel | Family Medicine | South Beloit Clinic-bhs, 1701 Blackhawk Blvd, South Beloit, IL 61080 | 2016-06-10 |
| 1144679085 | Thuy T Nguyen | Family Medicine | South Beloit Clinic- Bhs, 1701 Blackhawk Blvd, South Beloit, IL 61080 | 2016-06-10 |
| 1861652919 | Diane Marie Brandlein | Dentist | 1917 Blackhawk Blvd, South Beloit, IL 61080 | 2008-06-12 |
| 1003028127 | Stateline Chiropractic & Sports Injury Clinic Sc | Chiropractor | 1407 Pate Plaza Dr, South Beloit, IL 61080 | 2007-05-03 |
| 1366085383 | Susan D Geise | Registered Nurse | 1022 Fisher Rd, South Beloit, IL 61080-1102 | 2019-10-22 |
| 1700295334 | Erica Lynn Myher | Licensed Practical Nurse | 131 Elmo Ave, South Beloit, IL 61080-1218 | 2014-08-07 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1265558837 | Joseph C Probst | Chiropractor | 1407 Pate Plaza Dr, South Beloit, IL 61080-1431 | 2007-03-22 |
| 1679839773 | South Beloit Office | General Practice | 1407 Pate Plaza Dr, South Beloit, IL 61080-1431 | 2012-04-03 |
| Find all providers in zip 61080 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548484900 | County of Winnebago Sch Dist 320 | Clinic/Center | 245 Prairie Hill Rd, South Beloit, IL 61080-2579 | 2007-04-13 |
| 1568894715 | Board of Trustees of The University of Illinois | Clinic/Center | 245 Prairie Hill Rd, South Beloit, IL 61080-2579 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409196 | Gavin School District 37 | Clinic/Center | 25775 W Highway 134, Ingleside, IL 60041-9587 | 2017-10-26 |
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1659705150 | Circle Family Healthcare Network | Clinic/Center | 4701 Harrison St, Hillside, IL 60162-1616 | 2013-09-03 |
| 1932441946 | The Board of Trustees of Siu Governing Siue | Clinic/Center | Student Success Ctr Rm 0222, Campus Box 1055, Edwardsville, IL 62026-1055 | 2013-03-18 |
| 1225378094 | Kankakee School District 111 | Clinic/Center | 1200 W Jeffery St, Kankakee, IL 60901-4667 | 2013-02-15 |
| 1033478383 | Rockford School District | Clinic/Center | 401 N Gardiner Ave, Rockford, IL 61107-4338 | 2012-05-07 |
| 1306117304 | Fox Lake Grade School District #114 | Clinic/Center | 29067 W Grass Lake Rd, Spring Grove, IL 60081-9494 | 2012-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BELOIT |
| Zip Code | 61080 |
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.