Organization Name: | UNIVERSITY OF ILLINOIS |
NPI Number: | 1659431351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES ONUFER (DIRECTOR) |
Mailing Address: | 2815 W Washington Suite 300 Springfield |
State: | IL US |
Postal Code: | 627949481 |
Phone Number: | 2177932350 |
Fax Number: | 2177930773 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |