THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI# 1902932825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902932825 |
| Entity Type | Organization |
| Organization Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Other Organization Name | UNIVERSITY OF ILLINOIS TAYLOR ST. / EEI PHARMACY |
| Practice Address |
1855 W Taylor St Suite 1071 Chicago IL 60612-7242 |
| Mailing Address |
840 S Wood St Suite 345 Csb, Mc 884 Chicago IL 60612-4325 |
| Practice Telephone | 3129966540 |
| Practice Fax Number | 3129961314 |
| Mailing Telephone | 3129962812 |
| Mailing Fax Number | 3123551916 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | WALTER K KNORR (VICE PRESIDENT, CFO, COMPTROLLER) |
| Authorized Official Telephone | 3129968800 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 93009390 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| University of Illinois Taylor St. / EEI Pharmacy | 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 |
| 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 |
| Street Address |
1855 W TAYLOR ST SUITE 1071 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329470 | Ari B Rubenfeld | Specialist | 1855 W Taylor St, Rm 2.42, Chicago, IL 60612-7242 | 2005-10-11 |
| 1336768852 | Luis Alejandro Acaba-berrocal | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-14 |
| 1780213025 | Michael Thomas Massengill | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-08 |
| 1528697745 | Tala Al-khaled | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-08 |
| 1841829009 | Johnathan Jeffers | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-08 |
| 1558990846 | Can Kocasarac | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-04-07 |
| 1184251134 | Joshua Anthony Lee | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2020-03-26 |
| 1760041479 | Abigail Ann Strauss | Optometrist | 1855 W Taylor St, Chicago, IL 60612-7242 | 2019-06-07 |
| 1699237420 | Katherine Grace Chen | Student in an Organized Health Care Education/Training Program | 1855 W Taylor St, Chicago, IL 60612-7242 | 2019-04-01 |
| 1235694530 | Benito Valdepenas IIi | Pharmacist | 1855 W Taylor St, Chicago, IL 60612-7242 | 2019-01-31 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1558974071 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 W Webster Ave, Chicago, IL 60614-7610 | 2020-08-25 |
| 1689286759 | Tia Strong | Durable Medical Equipment & Medical Supplies | 9413 S Vernon Ave, Chicago, IL 60619-7407 | 2020-08-20 |
| 1174134977 | Home Health Connector, LLC | Durable Medical Equipment & Medical Supplies | 1514 W 87th St Ste 2, Chicago, IL 60620-4819 | 2020-08-14 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1508475732 | Lakepointe Spine, Inc. | Durable Medical Equipment & Medical Supplies | 3452 N Damen Ave, Chicago, IL 60618-6106 | 2020-07-23 |
| 1578184370 | Tulsa Medical Supply & Logistics Inc | Durable Medical Equipment & Medical Supplies | 1657 S Troy St Apt 1, Chicago, IL 60623-2332 | 2020-05-03 |
| 1063031177 | Nicholas Achtien | Durable Medical Equipment & Medical Supplies | 833 N Clark St Unit 1804, Chicago, IL 60610-3419 | 2020-04-09 |
| 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.