Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
Diabetes Management and Prevention Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
MICHAEL B. ZENN (CHIEF FINANCIAL OFFICER)
(312) 996-3620
Entity
Organization
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7699
(312) 996-1001
Mailing address
7712 SOLUTION CENTER, CHICAGO, IL 60677-0001
(312) 996-1000
(312) 996-1001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
02/02/2022
Last updated
02/22/2023
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