# UNIVERSITY OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275817249
- **Authorized official:** DR. JANET JOKELA M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (217) 383-3110

## Contact information

- **Practice address:** 611 W PARK ST, CARLE FORUM, URBANA, IL 61801-2500
- **Practice address phone:** (217) 383-3110
- **Mailing address:** 2522 FIELDS SOUTH DR, APT NO 206, CHAMPAIGN, IL 61822-3709
- **Mailing address phone:** (404) 697-0663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 036128060 | IL | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011