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INTEGRATED HEALTH CARE - AVIVA
NPI 1841614609
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since February 13, 2014
3240 W DIVISION ST, CHICAGO, IL 60651(312) 413-7425(312) 996-3512 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integrated Health Care - Aviva NPPES

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

INTEGRATED HEALTH CARE - AVIVA (NPI 1841614609) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since February 2014. The organization lists Elizabeth M Raleigh, Director, as its authorized official.

NPPES Registry Identity

NPI1841614609
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address3240 W DIVISION STChicago, IL 60651-2405
Mailing Address845 S Damen Ave, M/c 802Chicago, IL 60612-3727 · (312) 996-7663 · Fax (312) 996-3512
Phone(312) 413-7425
Fax(312) 996-3512
Organization SubpartNo
Authorized OfficialElizabeth M RaleighDirector · (312) 996-7663
Enumeration DateFebruary 13, 2014
Last NPPES UpdateJanuary 22, 2016
✔ NPI 1841614609 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
3240 W DIVISION ST, Chicago, IL 60651
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Other Names 1

Doing Business AsIntegrated Health Care - Aviva

Other Identifiers 2

Medicare OSCAR/certification781821IL
Other1622185IL · Bcbs

Other Providers at the Same Location NPPES 9

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

KELLY THERESE MOORE RN, DNP STUDENT
Registered Nurse (Ambulatory Care)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
VERENICE CHAVEZ
Registered Nurse (Emergency)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
CELINA CANTU LCSW
Social Worker (Clinical)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
BERNARD J VONDERHAAR DNP
Nurse Practitioner (Psychiatric/Mental Health)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
MR. MICHAEL ANTHONY HUYCK RN
Nurse Practitioner (Family)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
MITCHELL KORDZIKOWSKI
Nurse Practitioner (Psychiatric/Mental Health)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
KEISHA NICOLE HOUSE
Nurse Practitioner (Family)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Health Educator
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 996-2000

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 1841614609. It was assigned to this organization in the NPPES registry on February 13, 2014. The provider is doing business as Integrated Health Care - Aviva.

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

The Board Of Trustees Of The University Of Illinois is located at 3240 W Division St, Chicago, IL 60651. The listed phone number is (312) 413-7425.

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 January 22, 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.