Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
Developmental Disabilities Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
MARY THERESE KEEHN (ASSOC DEAN FOR CLINICAL AFFAIRS - C)
(312) 413-2873
Entity
Organization
Contact information
Practice address
1640 W ROOSEVELT RD # MC727, CHICAGO, IL 60608-1316
(312) 413-2652
Mailing address
1640 W ROOSEVELT RD # MC727, CHICAGO, IL 60608-1316
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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