THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS
NPI 1144093006
Nurse Practitioner in Chicago, IL

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 02, 2023

751 S SACRAMENTO BLVD, CHICAGO, IL 60612(312) 413-8850 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Board Of Trustees Of University Of Illinois NPPES

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

THE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS (NPI 1144093006), doing business as Ui Health Wellness Clinic At Altus Academy, is a healthcare organization registered as a nurse practitioner in Chicago, Illinois and active in the NPI registry since November 2023. The organization lists Carolyn Dickens, Interim Associate Dean, as its authorized official.

NPPES Registry Identity

NPI1144093006

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTHE BOARD OF TRUSTEES OF UNIVERSITY OF ILLINOIS

Location Address751 S SACRAMENTO BLVDChicago, IL 60612-3365

Mailing Address845 S Damen AveChicago, IL 60612-3727 · (312) 413-8850

Phone(312) 413-8850

Organization SubpartYesParent: The Board Of Trustee For The University Of Illinois

Authorized OfficialCarolyn DickensInterim Associate Dean · (312) 413-8850

Enumeration DateNovember 2, 2023

NPPES CertifiedNovember 2, 2023

✔ NPI 1144093006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPediatricsTaxonomy 208000000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

751 S SACRAMENTO BLVD, Chicago, IL 60612

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Other Names 1

Doing Business AsUi Health Wellness Clinic At Altus Academy

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

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 University Of Illinois's NPI number?

The NPI number for The Board Of Trustees Of University Of Illinois is 1144093006. It was assigned to this organization in the NPPES registry on November 2, 2023. The provider is doing business as UI Health Wellness Clinic at Altus Academy.

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

The Board Of Trustees Of University Of Illinois is located at 751 S Sacramento Blvd, Chicago, IL 60612. The listed phone number is (312) 413-8850.

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

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for The Board Of Trustees Of University Of Illinois was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.