MILE SQUARE- IHC THRESHOLDS MOTHERS PROGRAM
NPI 1205022506
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since September 20, 2007
1110 W BELMONT AVE, IHC THRESHOLDS MOTHERS PROGRAM, CHICAGO, IL 60657(312) 996-9354(312) 996-7725 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mile Square- Ihc Thresholds Mothers Program NPPES

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

MILE SQUARE- IHC THRESHOLDS MOTHERS PROGRAM (NPI 1205022506) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since September 2007. The organization lists William R Nicolas, Executive Director Uic Medical Pla, as its authorized official.

NPPES Registry Identity

NPI1205022506
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address1110 W BELMONT AVE, IHC THRESHOLDS MOTHERS PROGRAMChicago, IL 60657-3313
Mailing Address1110 W Belmont Ave, Ihc Thresholds Mothers ProgramChicago, IL 60657-3313 · (312) 996-9354 · Fax (312) 996-7725
Fax(312) 996-7725
Organization SubpartNo
Authorized OfficialWilliam R NicolasExecutive Director Uic Medical Pla · (312) 413-0573
Enumeration DateSeptember 20, 2007
Last NPPES UpdateAugust 5, 2008
NPI 1205022506 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
1110 W BELMONT AVE, Chicago, IL 60657

Other Names 1

Doing Business AsMile Square- Ihc Thresholds Mothers Program

Other Identifiers 1

Other14-1073IL · Medicare Certification

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1110 W BELMONT AVE
CHICAGO, IL 60657

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 1205022506. It was assigned to this organization in the NPPES registry on September 20, 2007. The provider is doing business as Mile Square- Ihc Thresholds Mothers Program.

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

The Board Of Trustees Of The University Of Illinois is located at 1110 W Belmont Ave Ihc Thresholds Mothers Program, Chicago, IL 60657. The listed phone number is (312) 996-9354.

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 August 5, 2008. 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.