THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1174554331
Early Intervention Provider Agency in Chicago, IL
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
Specialties & Licenses 10
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Board Of Trustees Of The University Of Illinois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,107Medicare enrollment records show 2,107 clinicians reassign Medicare billing to The Board Of Trustees Of The University Of Illinois, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 1,201 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 2,107Chicago, IL 60608
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is The Board Of Trustees Of The University Of Illinois enrolled in Medicare?
Yes. The Board Of Trustees Of The University Of Illinois is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Board Of Trustees Of The University Of Illinois?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,107 clinicians in 71 Medicare specialties reassign their Medicare billing to The Board Of Trustees Of The University Of Illinois. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (289), Pediatric Medicine (250) and Internal Medicine (153). Of these, 16 practice at this address and 1,201 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4 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.
# The Board Of Trustees Of The University Of Illinois · NPI 1174554331
Early Intervention Provider Agency organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1174554331 (Entity type: Organization)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Early Intervention Provider Agency · taxonomy 252Y00000X
- **Also known as:** College of Applied Health Sciences Faculty Practice (Doing Business As)
- **Organization subpart:** Yes (part of The Board Of Trustees Of The University Of Illinois)
- **Authorized official:** Mary Keehn, ASSOC DEAN FOR CLINICAL AFFAIRS
## Practice location
- **Address:** 1640 W ROOSEVELT RD, Chicago, IL 60608-1336
- **Phone:** (312) 996-6695 · **Fax:** (312) 413-0086
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,107 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (289), Pediatric Medicine (250), Internal Medicine (153); 16 practice at this address and 1,201 within 10 miles; [full list](https://npiprofile.com/npi/1174554331/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174554331) · Data from the CMS NPPES public registry.