NPIMap

Organization Active NPI

The Board of Trustees of the University of Illinois

Doing business as Occupational Health Service Institute (OHSI)

  • Occupational Medicine Physician
  • Chicago, IL
National Provider Identifier
1043727571
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Doing business as
Occupational Health Service Institute (OHSI)
Practice address
835 S. Wolcott
Suite E-144; MC 684
Chicago, IL 60612
Phone
(312) 996-7420
Fax
(312) 413-8485
NPI assigned
Jan 5, 2018
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel A Bakston, MD, MPH, MBANPI 1821305269
Title
Interim Director
Phone
(312) 355-3554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Occupational Medicine Physician 2083X0100X Primary

Addresses

Primary practice location

835 S. Wolcott
Suite E-144; MC 684
Chicago, IL 60612

Mailing address

7732 Solutions Center
Chicago, IL 60677-7007
Phone (312) 413-0369

Other names 1

  • Occupational Health Service Institute (OHSI) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000158 IL Part B Supplier - Clinic/Group Practice 3072422716 Receives reassigned benefits from 2,115 practitioners
44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 44

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 44

National Provider Directory

National Provider Directory
Tax ID family
Uic Dept of Pathology122 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations (25 of 52)

1701 S Oak St
Champaign, IL 61820

505 E Green St
Champaign, IL 61820
Phone (217) 333-0041

1100 W Belmont Ave
Chicago, IL 60657
Phone (773) 537-3136

1220 S Wood St
Rm 1047
Chicago, IL 60608
Phone (312) 413-0550

1640 W Roosevelt Rd
Rm 338
Chicago, IL 60608
Phone (312) 996-6480

1740 W Taylor St
#515
Chicago, IL 60612
Phone (312) 996-4020

1740 W Taylor St
Rm 1400
Chicago, IL 60612
Phone (312) 996-3620

1740 W Taylor St
Ste 3200
Chicago, IL 60612
Phone (312) 996-4020

1747 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 996-2200

1801 W Taylor St
#3E
Chicago, IL 60612
Phone (312) 996-6966

1801 W Taylor St
#C400
Chicago, IL 60612
Phone (312) 996-3630

1801 W Taylor St
Fl 4
Chicago, IL 60612
Phone (312) 413-7500

1801 W Taylor St
Ste 1411
Chicago, IL 60612
Phone (312) 996-6985

1801 W Taylor St
Ste 3402
Chicago, IL 60612
Phone (312) 996-8675

1855 W Taylor St
#1071
Chicago, IL 60612
Phone (312) 996-6540

1855 W Taylor St
#1077
Chicago, IL 60612
Phone (312) 355-6184

1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582

1855 W Taylor St
Rm 1071
Chicago, IL 60612
Phone (312) 996-6540

1859 W Taylor St
#794
Chicago, IL 60612
Phone (312) 996-6444

1940 W Taylor St
Rm 312
Chicago, IL 60612
Phone (312) 413-0109

2045 W Washington Blvd
Chicago, IL 60612
Phone (312) 413-1789

2045 W Washington Blvd
Fl 3
Chicago, IL 60612
Phone (312) 355-3504

2102 W Monroe St
Fl 2
Chicago, IL 60612
Phone (312) 355-1027

2710 S Dearborn St
Chicago, IL 60616
Phone (312) 355-5745

30 N Michigan Ave
Ste 410
Chicago, IL 60602
Phone (312) 996-2020

Practitioners & affiliated clinicians

Practitioners 2,394

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 2,394

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1043727571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 SOLUTIONS CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606777007",
            "telephone_number": "312-413-0369",
            "fax_number": "312-413-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S. WOLCOTT",
            "address_2": "SUITE E-144; MC 684",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-7420",
            "fax_number": "312-413-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "BAKSTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "312-355-3554",
        "authorized_official_credential": "MD, MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Health Service Institute (OHSI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.