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

The Board of Trustees of University of Illinois

Organization Pediatrics Physician · NPI 1144093006

The Board of Trustees of University of Illinois provides Pediatrics Physician services in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4

Practice location Address checks out

751 S Sacramento Blvd
Chicago, IL 60612-3365
Phone: (312) 413-8850
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Pediatrics Physician Taxonomy 208000000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1144093006
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Board of Trustee for the University of Illinois
Authorized official Carolyn Dickens — Interim Associate Dean · (312) 413-8850
Other names Ui Health Wellness Clinic At Altus Academy
NPI enumeratedNovember 2, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing address845 S Damen Ave, Chicago, IL 60612-3727

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