THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1346596327
Clinic/Center - Federally Qualified Health Center (FQHC) 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 Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since July 27, 2012

641 W. 63RD ST, UIH-MILE SQUARE HEALTH CENTER AT ENGLEWOOD, CHICAGO, IL 60621(312) 413-4070(312) 413-7812 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2025, Dec 17, 2015 (2 updates tracked since 2015).

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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 1346596327), doing business as Uih-mile Square Health Center At Englewood, is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since July 2012. The organization lists Timothy Stecker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346596327

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address641 W. 63RD ST, UIH-MILE SQUARE HEALTH CENTER AT ENGLEWOODChicago, IL 60621-2032

Mailing Address1220 S. Wood Street, Uih-mile Square Health CenterChicago, IL 60608-1202 · (312) 413-1261 · Fax (312) 413-7812

Phone(312) 413-4070

Fax(312) 413-7812

Organization SubpartNo

Authorized OfficialTimothy SteckerCfo · (312) 355-7653

Enumeration DateJuly 27, 2012

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1346596327 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

641 W. 63RD ST, Chicago, IL 60621

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Other Names 1

Doing Business AsUih-mile Square Health Center At Englewood

Other Identifiers 2

Other1622185IL · Bcbs Provider

Other1622185IL · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status 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).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20121126000551Part A · Federally Qualified Health Center (FQHC)Due dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 1346596327. It was assigned to this organization in the NPPES registry on July 27, 2012. The provider is doing business as UIH-Mile Square Health Center at Englewood.

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

The Board Of Trustees Of The University Of Illinois is located at 641 W. 63rd St Uih-Mile Square Health Center At Englewood, Chicago, IL 60621. The listed phone number is (312) 413-4070.

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.

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.

When is The Board Of Trustees Of The University Of Illinois's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Illinois, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.