UNIVERSITY CLINIC AT BLACKHAWK
NPI 1255761961
Clinic/Center - Student Health in Rockford, IL

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Active since November 15, 2013

330 15TH AVE, ROCKFORD, IL 61104(815) 395-5858(815) 968-2035 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About University Clinic At Blackhawk NPPES

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

UNIVERSITY CLINIC AT BLACKHAWK (NPI 1255761961) is a healthcare organization registered as a student health in Rockford, Illinois and active in the NPI registry since November 2013. The organization lists Uma Sriram, Director Of Fiscal Affairs, as its authorized official.

NPPES Registry Identity

NPI1255761961

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameBOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address330 15TH AVERockford, IL 61104-5155

Mailing Address1601 Parkview AveRockford, IL 61107-1822 · (815) 385-5637 · Fax (815) 395-5887

Phone(815) 395-5858

Fax(815) 968-2035

Organization SubpartNo

Authorized OfficialUma SriramDirector Of Fiscal Affairs · (815) 395-5637

Enumeration DateNovember 15, 2013

Last NPPES UpdateApril 27, 2016

✔ NPI 1255761961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

330 15TH AVE, Rockford, IL 61104

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Other Names 1

Doing Business AsUniversity Clinic At Blackhawk

Other Identifiers 1

MedicaidPENDINGIL

Other Providers at the Same Location NPPES

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

BLACKHAWK PARK SCHOOL

Clinic/Center (Student Health)

330 15TH AVE
ROCKFORD, IL 61104

Winnebago County (815) 972-7200

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

The NPI number for Board Of Trustees Of The University Of Illinois is 1255761961. It was assigned to this organization in the NPPES registry on November 15, 2013. The provider is doing business as University Clinic At Blackhawk.

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

Board Of Trustees Of The University Of Illinois is located at 330 15th Ave, Rockford, IL 61104. The listed phone number is (815) 395-5858.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of The University Of Illinois was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.