THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1457523219
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

NPI Status: Active since April 01, 2008

Contact Information

4630 SOUTH BISHOP STREET
UIH-MILE SQUARE HEALTH CENTER AT BACK OF THE YARDS
CHICAGO, IL
ZIP 60609
Phone: (773) 579-9401
Fax: (312) 413-7812

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

This page provides the complete NPI Profile along with additional information for The Board Of Trustees Of The University Of Illinois, a primary care provider established in Chicago, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1457523219 assigned on April 2008. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. Timothy Stecker (Cfo)

NPI
1457523219
Provider Legal Name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4630 SOUTH BISHOP STREET UIH-MILE SQUARE HEALTH CENTER AT BACK OF THE YARDS CHICAGO, IL 60609
Location Phone
(773) 579-9401
Location Fax
(312) 413-7812
Mailing Address
1220 S. WOOD STREET UIH-MILE SQUARE HEALTH CENTER CHICAGO, IL 60608
Mailing Phone
(312) 413-1261
Mailing Fax
(312) 413-7812
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2008
Last Update Date
06-27-2025
Code Navigator

A primary care provider (PCP) like The Board Of Trustees Of The University Of Illinois sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TIMOTHY STECKER

Authorized Official Title
CFO
Authorized Official Phone
(312) 355-7653

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1622185OTHER (01)ILBCBS PROVIDER

Reviews for THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457523219, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 0 + 2 + 6 + 2 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457523219.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457523219, enumerated as an "organization" on April 01, 2008.

The provider is located at 4630 SOUTH BISHOP STREET UIH-MILE SQUARE HEALTH CENTER AT BACK OF THE YARDS CHICAGO, IL 60609 and the phone number is (773) 579-9401.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: UnitedHealthcare, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to verify.