Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Board of Trustees of the University of Illinois

Organization Customized Equipment (DME) · NPI 1659501500

The Board of Trustees of the University of Illinois provides Customized Equipment (DME) in Chicago, Illinois. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

811 S Paulina St 118 Dent Mc 588
Chicago, IL 60612-4353
Phone: (312) 996-6933
Fax: (312) 355-4173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1659501500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurence Appel — Chief Financial Officer · (312) 996-3620
Other names Uic Maxillofacial Prosthetics Clinic; Uic Maxillofacial Prosthetics Clinic
NPI enumeratedJuly 24, 2009
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address1740 W Taylor St # Mc693, Chicago, IL 60612-7232

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