THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS

CHICAGO, IL
NPI1144093006
Doing Business AsUI HEALTH WELLNESS CLINIC AT ALTUS ACADEMY
Entity TypeOrganization
Authorized ContactCAROLYN DICKENS
Interim Associate Dean
312-413-8850
Organization Subpart ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
363LP0808X Nurse Practitioner, Psych/Mental Health
208000000X Pediatrics
Enumeration Date2023-11-02
Last Update Date2023-11-02
Business Address
THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS
751 S SACRAMENTO BLVD
CHICAGO, IL 60612-3365
Phone number: 312-413-8850
Mailing Address
THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS
845 S DAMEN AVE
CHICAGO, IL 60612-3727
Phone number: 312-413-8850
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