Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
UIC Nursing Faculty Practice and Partnerships
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
WALTER K. KNORR (COMPTROLLER)
(312) 996-8800
Entity
Organization
Contact information
Practice address
3656 N HALSTED ST, CHICAGO, IL 60613-5974
(734) 726-4697
(312) 413-2588
Mailing address
845 S DAMEN AVE, M/C 802 ROOM 920, CHICAGO, IL 60612-3727
(312) 413-9854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/09/2008
Last updated
03/19/2021
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