UNIVERSITY OF ILLINOIS - CHICAGO

CHICAGO, IL
NPI1174554331
Doing Business AsCOLLEGE OF APPLIED HEALTH SCIENCES FACULTY PRACTICE
Entity TypeOrganization
Authorized ContactBO L. FERNHALL
Director
312-413-1567
Organization Subpart ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies261QX0100X Clinic/Center, Occupational Medicine
225100000X Physical Therapist
101YP2500X Counselor, Professional
103K00000X Behavior Analyst
103TC0700X Psychologist, Clinical
1041C0700X Social Worker, Clinical
222Q00000X Developmental Therapist
225XP0200X Occupational Therapist, Pediatrics
235Z00000X Speech-Language Pathologist,
Enumeration Date2006-07-06
Last Update Date2022-01-20
Business Address
UNIVERSITY OF ILLINOIS - CHICAGO
1640 W ROOSEVELT RD ROOM 336 (MC 628)
CHICAGO, IL 60608-1316
Phone number: 312-413-1567
Mailing Address
UNIVERSITY OF ILLINOIS - CHICAGO
5254 SOLUTION CENTER
CHICAGO, IL 60677-0001
Phone number: 312-413-1567