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THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1659501500
Durable Medical Equipment & Medical Supplies - Customized Equipment in Chicago, IL

Active since July 24, 2009
811 S PAULINA ST, 118 DENT, MC 588, CHICAGO, IL 60612(312) 996-6933(312) 355-4173 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Sep 19, 2018, Apr 11, 2017 (3 updates tracked since 2017).

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 1659501500), doing business as Uic Maxillofacial Prosthetics Clinic, is a healthcare organization registered as a customized equipment in Chicago, Illinois and active in the NPI registry since July 2009. The organization lists Laurence Appel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1659501500
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address811 S PAULINA ST, 118 DENT, MC 588Chicago, IL 60612-4353
Mailing Address1740 W Taylor St # Mc693Chicago, IL 60612-7232 · (312) 996-3620 · Fax (312) 996-0850
Phone(312) 996-6933
Fax(312) 355-4173
Organization SubpartNo
Authorized OfficialLaurence AppelChief Financial Officer · (312) 996-3620
Enumeration DateJuly 24, 2009
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1659501500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
811 S PAULINA ST, Chicago, IL 60612
Open in Google Maps ↗

Other Names 1

Doing Business AsUic Maxillofacial Prosthetics Clinic

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Ui Health Craniofacial Prosthetic C carries, from the Medicare DMEPOS supplier directory.

Ui Health Craniofacial Prosthetic C

DMEPOS supplier · Chicago, ILOperated by The Board Of Trustees Of The University Of Illinois
✔

Accepts Medicare assignment

Ui Health Craniofacial Prosthetic C agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20350013
Medicare Participant SinceApril 8, 2022
Supplier Location811 S Paulina St Ste 161 Dent (m/C 588)Chicago, IL 60612
Phone(312) 996-7546
Provider TypeAll Other Supplies (ie, Drug Stores, Etc.) · Oral Surgery - Dentist

Medicare Product Categories

Facial Prostheses
Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
Ocular Prostheses
Prosthetic eyes
Somatic Prostheses
Finger prosthesis, Hand prosthesis, Toe prosthesis
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 13

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

ROSEMARY SEELAUS M.A.M.S.
Anaplastologist
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7546
SVEN GARTNER DDS
Dentist (General Practice)
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7546
DR. POLINA GEORGIEVNA GUBAREVA
Student in an Organized Health Care Education/Training Program
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
JA'NEIL GRACE-MARIE HUMPHREY MD
Student in an Organized Health Care Education/Training Program
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-5338
MISS SYLVIA DOMINGUEZ MSW, LSW
Social Worker
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-5408
DR. JANINE ROSENBERG PH.D.
Psychologist (Clinical Child & Adolescent)
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-1137
ERIN STEVENS
Anaplastologist
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7546
ELLYN MCNAMARA
Speech-Language Pathologist
811 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7546

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 1659501500. It was assigned to this organization in the NPPES registry on July 24, 2009. The provider is doing business as UIC Maxillofacial Prosthetics Clinic.

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

The Board Of Trustees Of The University Of Illinois is located at 811 S Paulina St 118 Dent, Mc 588, Chicago, IL 60612. The listed phone number is (312) 996-6933.

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

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Does The Board Of Trustees Of The University Of Illinois accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ui Health Craniofacial Prosthetic C accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for The Board Of Trustees Of The University Of Illinois was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.