Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
UI Health Mile Square Health Center L P Johnson Rockord
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY TAYLOR (CEO)
(312) 413-1832
Entity
Organization
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
Mailing address
7736 SOLUTION CENTER, CHICAGO, IL 60677-7007
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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