THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1124787908
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 09, 2021

4634 S BISHOP ST, CHICAGO, IL 60609(312) 355-5570 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Feb 8, 2022, Dec 9, 2021 (3 updates tracked since 2021).

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About The Board Of Trustees Of The University Of Illinois NPPES

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

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI 1124787908), doing business as Ui Health Mile Square Health Center Back Of The Yards Dental, is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since December 2021. The organization lists Timothy Stecker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124787908

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address4634 S BISHOP STChicago, IL 60609-3240

Mailing Address1220 S Wood StChicago, IL 60608-1202 · (312) 413-3282

Phone(312) 355-5570

Organization SubpartYes

Authorized OfficialTimothy SteckerCfo · (312) 355-7653

Enumeration DateDecember 9, 2021

Last NPPES UpdateJune 27, 20253 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1124787908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

4634 S BISHOP ST, Chicago, IL 60609

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Other Names 1

Doing Business AsUi Health Mile Square Health Center Back Of The Yards Dental

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

The NPI number for The Board Of Trustees Of The University Of Illinois is 1124787908. It was assigned to this organization in the NPPES registry on December 9, 2021. The provider is doing business as UI Health Mile Square Health Center Back of the Yards Dental.

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

The Board Of Trustees Of The University Of Illinois is located at 4634 S Bishop St, Chicago, IL 60609. The listed phone number is (312) 355-5570.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for The Board Of Trustees Of The University Of Illinois was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.