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Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRIANNA CUMMINGS (LEAD CREDENTIALING SPECIALIST)
(773) 757-4364
Entity
Organization
Contact information
Practice address
1640 W ROOSEVELT RD, CHICAGO, IL 60608-1316
(312) 413-8043
(312) 413-8333
Mailing address
5254 SOLUTION CENTER UIC BEHAVIORAL HEALTH CLINIC, CHICAGO, IL 60677-0001
(312) 996-1000
(312) 996-1001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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