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 Pediatrics Physician · NPI 1972541902

The Board of Trustees of the University of Illinois provides Pediatrics Physician services in Rockford, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2350 N Rockton Ave Ste 204
Rockford, IL 61103-3669
Phone: (815) 395-8812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1972541902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loreen Didier — Credentialing Specialist · (815) 395-5861
Other names Uic Merit
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address1601 Parkview Ave, Rockford, IL 61107-1822

Other providers in Rockford