UNIVERSITY CLINIC AT SOUTH BELOIT - JUNIOR HIGH
NPI 1871905190
Clinic/Center - Student Health in South Beloit, 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 Student Health, with taxonomy code 261QS1000X.

Active since May 21, 2014

840 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080(815) 395-5861(815) 395-5575 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About University Clinic At South Beloit - Junior High NPPES

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

UNIVERSITY CLINIC AT SOUTH BELOIT - JUNIOR HIGH (NPI 1871905190) is a healthcare organization registered as a student health in South Beloit, Illinois and active in the NPI registry since May 2014. The organization lists Michael Harner, Director Of Financial Affairs, as its authorized official.

NPPES Registry Identity

NPI1871905190

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address840 BLACKHAWK BLVDSouth Beloit, IL 61080-2263

Mailing Address1601 Parkview AveRockford, IL 61107-1822 · (815) 395-5861 · Fax (815) 395-5575

Phone(815) 395-5861

Fax(815) 395-5575

Organization SubpartNo

Authorized OfficialMichael HarnerDirector Of Financial Affairs · (815) 395-5637

Enumeration DateMay 21, 2014

✔ NPI 1871905190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

840 BLACKHAWK BLVD, South Beloit, IL 61080

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Other Names 1

Doing Business AsUniversity Clinic At South Beloit - Junior High

Other Identifiers 1

MedicaidPENDINGIL

Other Providers at the Same Location NPPES

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

CRUSADERS CENTRAL CLINIC ASSOCIATION

Clinic/Center (Federally Qualified Health Center (FQHC))

840 BLACKHAWK BLVD
SOUTH BELOIT, IL 61080

Winnebago County (815) 490-1600

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 1871905190. It was assigned to this organization in the NPPES registry on May 21, 2014. The provider is doing business as University Clinic At South Beloit - Junior High.

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

The Board Of Trustees Of The University Of Illinois is located at 840 Blackhawk Blvd, South Beloit, IL 61080. The listed phone number is (815) 395-5861.

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 Student Health, with taxonomy code 261QS1000X.

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 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.