UIC,MILE SQUARE HEALTH CENTER,DAVIS HEALTH AND WELLNESS CENTER
NPI 1932450160
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Uic,mile Square Health Center,davis Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,107Medicare enrollment records show 2,107 clinicians reassign Medicare billing to Uic,mile Square Health Center,davis Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 1,231 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 2,107Chicago, IL 60623
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is The Board Of Trustees Of The University Of Illinois enrolled in Medicare?
Yes. The Board Of Trustees Of The University Of Illinois is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Board Of Trustees Of The University Of Illinois?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,107 clinicians in 71 Medicare specialties reassign their Medicare billing to The Board Of Trustees Of The University Of Illinois. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (289), Pediatric Medicine (250) and Internal Medicine (153). Of these, 1,231 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Uic,mile Square Health Center,davis Health And Wellness Center · NPI 1932450160
Federally Qualified Health Center (FQHC) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since September 27, 2012.
## Identity
- **NPI:** 1932450160 (Entity type: Organization)
- **Enumerated:** September 27, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** The Board Of Trustees Of The University Of Illinois
- **Organization subpart:** No
- **Authorized official:** Henry Taylor, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 3050 W 39TH PL, Chicago, IL 60632-2402
- **Phone:** (312) 413-1261 · **Fax:** (312) 413-7812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,107 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (289), Pediatric Medicine (250), Internal Medicine (153); 1,231 practice within 10 miles; [full list](https://npiprofile.com/npi/1932450160/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2020
- **Other identifiers:** Other 1622185 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1932450160) · Data from the CMS NPPES public registry.