The Board of Trustees of the University of Illinois
Organization Active NPI Durable Medical Equipment & Medical Supplies · Chicago, IL
NPI 1487895694 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1487895694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- Practice address
- 1855 W Taylor St
Suite 3.164
Chicago, IL 60612-7242 - Phone
- (312) 996-5410
- NPI assigned
- Mar 18, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
- Name
- Laurence Appel
- Title
- Chief Financial Officer
- Phone
- (312) 996-3620
Owned or controlled facilities with NPI records 11
Other NPIs with the same Medicare PAC ID 23
Corporate family (same tax ID) 24
Practitioners 1,134
-
Alexandra Leigh Aaronson, M.D.
-
Motaz Abas, MD
-
Khaled Abdelhady, M.D.
-
Rohit Abraham, MD, MPH, MAT
-
Omer Acar, MD
-
Elenmor Achurra, DNP, APRN, PMHNP-BC
-
Jessica Acosta, APRN
-
Lisa Marie Adiutori, D.O.
-
Mitra Afshari, M.D. M.P.H
-
Lorraine Aguada, NP
-
Aneet Ahluwalia, M.D.
-
Jamal Ahmad, M.D.
-
Zohair Ahmed, M.D.
-
Aleena Aickareth, APN-CNP
-
Olusola A. Ajilore, M.D.
-
Abayomi Akintorin, M.D.
-
Osama Al Deyabat, MBBS
-
Peter Alahi, MD
-
Ali Alaraj, M.D
-
Cecilia Anne Albaro, M.D.
-
Ibrahim Aldasoqi, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
All facility ownership & control disclosures 11
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Illinois Hospital and Clinics |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| University of Illinois Hospital |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Uimcc MSHC at South Shore |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| Uic Mile Square Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Jul 2, 2012 |
| Mile Square Back of the Yards |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Apr 10, 2008 |
| Uic-Mile Square at Cicero |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Nov 10, 2010 |
| University of Illinois - Mile Square Health Center Englewood |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Jul 2, 2012 |
| Mile Square Davis Health and Wellness Center |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2015 |
| The Board of Trustees of the University of Illinois |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
May 9, 2020 May 9, 2020 |
| Ui Health Mile Square Health Center Primary and Immediate Care Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2022 |
| Ui Health Mile Square Health Center Back of the Yards Dental |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930046180 | IL | DME Supplier - Physician - Optometrist | 3072422716 | Practice locations: Chicago, IL |
National Provider Directory
- Tax ID family
- Univ of Illinois Hospit
- Part of
- Univ of Illinois Hospit
Locations
1740 W Taylor St
#732
Chicago, IL 60612
7712 Solution Ctr
Chicago, IL 60677
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1855 W Taylor St
Suite 3.164
Chicago, IL 60612-7242
Mailing address
7712 Solution Center
Chicago, IL 60677-0001
Phone (312) 996-3620
Other names
- UIC CONTACT LENS SERVICE
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | ciox health |
Other providers in Chicago, IL
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
- The Board of Trustees of the University of Illinois
All providers in Chicago, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.