NPIMap

Organization Active NPI

The Board of Trustees of the University of Illinois

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1104073899
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(312) 770-2000
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Joan L Shaver
Title
Dean, Uic College of Nursing
Phone
(312) 413-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

845 South Damen Avenue
MC 802
Chicago, IL 60612-7350
Phone (312) 413-2888

Other names 1

  • UIC College of Nursing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Illinois Hospit122 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

Locations

845 S Damen Ave
#802
Chicago, IL 60612
Phone (312) 355-4321

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1104073899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SOUTH DAMEN AVENUE",
            "address_2": "MC 802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127350",
            "telephone_number": "312-413-2888",
            "fax_number": "312-996-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DEAN, UIC COLLEGE OF NURSING",
        "authorized_official_telephone_number": "312-413-2888"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UIC College of Nursing",
            "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 Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.