THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

ROCKFORD, IL
NPI1306486022
Doing Business AsUI HEALTH MILE SQUARE HEALTH CENTER L. P. JOHNSON ROCKFORD
Entity TypeOrganization
Authorized ContactHENRY TAYLOR
Executive Director
312-413-1261
Organization Subpart ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2020-01-10
Last Update Date2020-01-10
Business Address
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 312-413-3282
Mailing Address
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1220 S WOOD ST
CHICAGO, IL 60608-1202
Phone number: 312-413-3282