MILE SQUARE - IHC THRESHOLDS NORTH
NPI 1932395233
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, 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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 20, 2007

4219 N LINCOLN AVE, IHC THRESHOLDS YOUNG ADULT PROGRAM, 3RD FLOOR, CHICAGO, IL 60618(312) 996-9354(312) 996-7725 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mile Square - Ihc Thresholds North NPPES

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

MILE SQUARE - IHC THRESHOLDS NORTH (NPI 1932395233) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since September 2007. The organization lists William R. Nicholas, Executive Director Medical Plan Uic, as its authorized official.

NPPES Registry Identity

NPI1932395233

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address4219 N LINCOLN AVE, IHC THRESHOLDS YOUNG ADULT PROGRAM, 3RD FLOORChicago, IL 60618-2901

Mailing Address4219 N Lincoln Ave, Ihc Thresholds Young Adult Program, 3rd FloorChicago, IL 60618-2901 · (312) 996-9354 · Fax (312) 996-7725

Phone(312) 996-9354

Fax(312) 996-7725

Organization SubpartNo

Authorized OfficialWilliam R. NicholasExecutive Director Medical Plan Uic · (312) 413-0573

Enumeration DateSeptember 20, 2007

Last NPPES UpdateJuly 22, 2009

✔ NPI 1932395233 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

4219 N LINCOLN AVE, Chicago, IL 60618

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Other Names 1

Doing Business AsMile Square - Ihc Thresholds North

Other Identifiers 1

Medicare OSCAR/certification141071IL

Other Providers at the Same Location NPPES

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

THE THRESHOLDS

Clinic/Center (Mental Health (Including Community Mental Health Center))

4219 N LINCOLN AVE
CHICAGO, IL 60618

Cook County (773) 572-5500

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 1932395233. It was assigned to this organization in the NPPES registry on September 20, 2007. The provider is doing business as Mile Square - Ihc Thresholds North.

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

The Board Of Trustees Of The University Of Illinois is located at 4219 N Lincoln Ave Ihc Thresholds Young Adult Program, 3rd Floor, Chicago, IL 60618. The listed phone number is (312) 996-9354.

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 July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.