THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

ROCKFORD, IL
NPI1972541902
Doing Business AsUIC MERIT
Entity TypeOrganization
Authorized ContactLOREEN SUE DIDIER
Credentialing Specialist
815-395-5861
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-06-03
Last Update Date2022-08-18
Business Address
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
2350 N ROCKTON AVE STE 204
ROCKFORD, IL 61103-3669
Phone number: 815-395-8812
Mailing Address
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1601 PARKVIEW AVE
ROCKFORD, IL 61107-1822
Phone number: 815-395-5861