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UNIVERSITY PRIMARY CARE CLINIC AT MT MORRIS
NPI 1033157755
Family Medicine in Mt Morris, IL

Active since June 03, 2006
405 CHARLES ST, MT MORRIS, IL 61054(815) 734-6061(815) 734-7033 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Primary Care Clinic At Mt Morris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY PRIMARY CARE CLINIC AT MT MORRIS (NPI 1033157755) is a healthcare organization registered as a family medicine in Mt Morris, Illinois and active in the NPI registry since June 2006. The organization lists John Fitzhorn, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1033157755
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address405 CHARLES STMt Morris, IL 61054-1646
Mailing Address1601 Parkview Ave, S300Rockford, IL 61107-1822 · (815) 395-5892 · Fax (815) 395-5644
Phone(815) 734-6061
Fax(815) 734-7033
Organization SubpartNo
Authorized OfficialJohn FitzhornDirector Of Patient Accounts · (815) 395-5892
Enumeration DateJune 3, 2006
Last NPPES UpdateSeptember 10, 2007
✔ NPI 1033157755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
405 CHARLES ST, Mt Morris, IL 61054
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Other Names 1

Doing Business AsUniversity Primary Care Clinic At Mt Morris

Other Identifiers 1

Medicare ID-Type Unspecified375795IL · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOYD J WOLLSTADT M.D.
Internal Medicine
405 CHARLES ST, UNIVERSITY PRIMARY CARE CLINIC MT MORRIS
MOUNT MORRIS, IL 61054
Ogle County (815) 734-6061
DR. ISAAC HEONSANG CHA PHARMD, BCPS, BCADM
Pharmacist (Pharmacotherapy)
405 CHARLES ST
MOUNT MORRIS, IL 61054
Ogle County (815) 734-6061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of The University Of Illinois's NPI number?

The NPI number for Board Of Trustees Of The University Of Illinois is 1033157755. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as University Primary Care Clinic At Mt Morris.

Where is Board Of Trustees Of The University Of Illinois located?

Board Of Trustees Of The University Of Illinois is located at 405 Charles St, Mt Morris, IL 61054. The listed phone number is (815) 734-6061.

What is Board Of Trustees Of The University Of Illinois's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of The University Of Illinois was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.