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THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1356000236
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since December 08, 2021
839 W 79TH ST, CHICAGO, IL 60620(312) 996-2000 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Apr 22, 2022, Feb 9, 2022 and 1 more (4 updates tracked since 2021).

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 1356000236), doing business as Ui Health Mile Square Health Center Primary And Immediate Care Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since December 2021. The organization lists Timothy Stecker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356000236
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address839 W 79TH STChicago, IL 60620-2501
Mailing Address1220 S Wood StChicago, IL 60608-1202 · (312) 413-3282
Phone(312) 996-2000
Organization SubpartYes
Authorized OfficialTimothy SteckerCfo · (312) 355-7653
Enumeration DateDecember 8, 2021
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1356000236 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
839 W 79TH ST, Chicago, IL 60620
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Other Names 1

Doing Business AsUi Health Mile Square Health Center Primary And Immediate Care Center

Other Providers at the Same Location NPPES 5

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

MARGEAUX ARDIENTE GASTALA FNP-BC
Nurse Practitioner (Family)
839 W 79TH ST
CHICAGO, IL 60620
Cook County (312) 492-1220
BRANDIE RAQUEL YANCY PA
Physician Assistant
839 W 79TH ST
CHICAGO, IL 60620
Cook County (312) 492-1220
MISS EVELYN RIOS RD
Dietitian, Registered
839 W 79TH ST
CHICAGO, IL 60620
Cook County (815) 582-0413
JASMINE ROLAND FNP-C
Nurse Practitioner (Family)
839 W 79TH ST
CHICAGO, IL 60620
Cook County (312) 996-2000
BRANDY KENT
Doula
839 W 79TH ST
CHICAGO, IL 60620
Cook County (312) 973-7321

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 1356000236. It was assigned to this organization in the NPPES registry on December 8, 2021. The provider is doing business as UI Health Mile Square Health Center Primary and Immediate Care Center.

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

The Board Of Trustees Of The University Of Illinois is located at 839 W 79th St, Chicago, IL 60620. The listed phone number is (312) 996-2000.

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 June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.