# THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- **Other names:** UIC DHD Family Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801920186
- **Legal business name:** BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- **Authorized official:** KAILAS SANGHANI (DIRECTOR OF FINANCE)
- **Authorized official phone:** (312) 413-1350

## Contact information

- **Practice address:** 1640 W. ROOSEVELT RD MC 727, CHICAGO, IL 60608-6904
- **Practice address phone:** (312) 413-1871
- **Practice address fax:** (312) 413-1593
- **Mailing address:** 1640 W. ROOSEVELT RD MC 727, CHICAGO, IL 60608-6904
- **Mailing address phone:** (312) 413-1871
- **Mailing address fax:** (312) 413-1593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 05/18/2022