NPIMap

Organization Active NPI

The Board of Trustees of the University of Illinois

Doing business as UI Health Mile Square Health Center Dental - 55th & Pulaski

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1780309948
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Doing business as
UI Health Mile Square Health Center Dental - 55th & Pulaski
UI Health Mile Square Health Center Dental - 55th and Pulaski
Practice address
5525 S Pulaski Rd Ste 150
Chicago, IL 60629-4400
Phone
(312) 492-0060
NPI assigned
Oct 10, 2022
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Timothy Stecker
Title
Cfo
Phone
(312) 355-7653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

5525 S Pulaski Rd Ste 150
Chicago, IL 60629-4400

Mailing address

7702 Solution Center
Chicago, IL 60677-7007
Phone (312) 413-3282

Other names 2

  • UI Health Mile Square Health Center Dental - 55th & Pulaski Doing business as
  • UI Health Mile Square Health Center Dental - 55th and Pulaski Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2243283Ui Health 55TH & Pulaski5525 S Pulaski Rd, Chicago, IL 60629Provider-performed microscopyNov 16, 2027

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 24

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

View all 24

Locations

5525 S Pulaski Rd
Ste 150
Chicago, IL 60629
Phone (312) 492-0060

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1780309948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 SOLUTION CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606777007",
            "telephone_number": "312-413-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S PULASKI RD STE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294400",
            "telephone_number": "312-492-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "STECKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-355-7653"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI Health Mile Square Health Center Dental - 55th & Pulaski",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UI Health Mile Square Health Center Dental - 55th and Pulaski",
            "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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.