UIC,MILE SQUARE HEALTH CENTER,DAVIS HEALTH AND WELLNESS CENTER
NPI 1932450160
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since September 27, 2012
3050 W 39TH PL, CHICAGO, IL 60632(312) 413-1261(312) 413-7812 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Uic,mile Square Health Center,davis Health And Wellness Center NPPES

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

UIC,MILE SQUARE HEALTH CENTER,DAVIS HEALTH AND WELLNESS CENTER (NPI 1932450160) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since September 2012. The organization lists Henry Taylor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1932450160
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address3050 W 39TH PLChicago, IL 60632-2402
Mailing Address2045 W Washington BlvdChicago, IL 60612-2428 · (312) 413-1261 · Fax (312) 413-7812
Fax(312) 413-7812
Organization SubpartNo
Authorized OfficialHenry TaylorExecutive Director · (312) 312-1261
Enumeration DateSeptember 27, 2012
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1932450160 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
3050 W 39TH PL, Chicago, IL 60632

Other Names 1

Doing Business AsUic,mile Square Health Center,davis Health And Wellness Center

Other Identifiers 1

Other1622185IL · Blue Cross

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist
3050 W 39TH PL
CHICAGO, IL 60632

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 1932450160. It was assigned to this organization in the NPPES registry on September 27, 2012. The provider is doing business as Uic,mile Square Health Center,davis Health And Wellness Center.

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

The Board Of Trustees Of The University Of Illinois is located at 3050 W 39th Pl, Chicago, IL 60632. The listed phone number is (312) 413-1261.

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.

What insurance does The Board Of Trustees Of The University Of Illinois accept?

Health plans from UnitedHealthcare list The Board Of Trustees Of The University Of Illinois as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Board Of Trustees Of The University Of Illinois was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.