Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Mile Square Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY TAYLOR (CEO)
(312) 413-1832
Entity
Organization
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(312) 996-2000
Mailing address
7702 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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