Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1174554331
Early Intervention Provider Agency 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 Early Intervention Provider Agency with taxonomy code 252Y00000X.

Active since July 06, 2006

1640 W ROOSEVELT RD, CHICAGO, IL 60608(312) 996-6695(312) 413-0086 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Jul 19, 2019 (2 updates tracked since 2019).

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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 1174554331), doing business as College Of Applied Health Sciences Faculty Practice, is a healthcare organization registered as an early intervention provider agency in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Mary Therese Keehn, Assoc Dean For Clinical Affairs, as its authorized official.

NPPES Registry Identity

NPI1174554331

Entity TypeOrganization

Primary Taxonomy252Y00000X

Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address1640 W ROOSEVELT RDChicago, IL 60608-1336

Mailing Address808 S Wood St Ste 169Chicago, IL 60612-7306 · (312) 996-6695 · Fax (312) 413-0086

Phone(312) 996-6695

Fax(312) 413-0086

Organization SubpartYes

Authorized OfficialMary Therese KeehnAssoc Dean For Clinical Affairs · (312) 413-2873

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1174554331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies

Taxonomy Code252Y00000X

Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDevelopmental TherapistTaxonomy 222Q00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X

1640 W ROOSEVELT RD, Chicago, IL 60608

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Other Names 1

Doing Business AsCollege Of Applied Health Sciences Faculty Practice

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 20

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

JESSICA LYNN SCHULTZ M.A.

Counselor (Professional)

1640 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-7457

AMANDA CHASTAIN

Behavior Analyst

1640 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (124) 131-8713

MICHEL P. HELMKE

Speech-Language Pathologist

1640 W ROOSEVELT RD, ROOM 336 (M/C 628)
CHICAGO, IL 60608

Cook County (312) 413-1563

JOAN L. INGRAM PH.D.

Psychologist (Clinical)

1640 W ROOSEVELT RD, SUITE 103
CHICAGO, IL 60608

Cook County (312) 413-1822

ALYSON MARTINEZ YANEZ

Behavior Technician

1640 W ROOSEVELT RD, DHSP 103, MC727
CHICAGO, IL 60608

Cook County (312) 413-1871

LIZABETH FERNANDEZ

Social Worker

1640 W ROOSEVELT RD, MC 727
CHICAGO, IL 60608

Cook County (312) 413-1800

PENELOPE BERNSTEIN

Specialist/Technologist, Other

1640 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 413-8119

DANIELLE GOODMAN

Physical Therapist

1640 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 413-8043

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 1174554331. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as College of Applied Health Sciences Faculty Practice.

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

The Board Of Trustees Of The University Of Illinois is located at 1640 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 996-6695.

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

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

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 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.