The Board Of Trustees Of The University Of Illinois
Pediatrics
The Board Of Trustees Of The University Of Illinois is a Rockford, Illinois based Pediatric center with medical specialization in
General Pediatrics. The Board Of Trustees Of The University Of Illinois is doing business as
Uic Merit.
It is located at
2350 N Rockton Ave Ste 204, Rockford, Illinois - 61103-3669. They can be contacted on phone at
815-395-8812.
NPI number (Unique professional ID) for The Board Of Trustees Of The University Of Illinois is
1972541902 which was assigned by NPPES on 03 Jun, 2006 and it was last updated on 18 Aug, 2022.
The Board Of Trustees Of The University Of Illinois is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
The Board Of Trustees Of The University Of Illinois basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | The Board Of Trustees Of The University Of Illinois |
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| Other Name : | Uic Merit |
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Business Address:
The Board Of Trustees Of The University Of Illinois address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2350 N Rockton Ave Ste 204
Rockford, IL, 61103-3669
United States |
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| Phone Number : | 815-395-8812 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972541902 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Jun, 2006 |
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| Last Updated On : | 18 Aug, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Loreensue Didier |
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| Official Title or Position : | Credentialing Specialist |
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| Phone Number : | 8153955861 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Board Of Trustees Of The University Of Illinois are as mentioned. Primary taxonomy code for The Board Of Trustees Of The University Of Illinois is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | - |
Legacy Identifiers:
Other legacy medical identifiers of The Board Of Trustees Of The University Of Illinois such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 375793 | MEDICARE ID-Type Unspecified | IL | Medicare Group Number |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1601 Parkview Ave
Rockford, IL, 61107-1822
United States |
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| Phone Number : | 815-395-5861 |
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| Fax Number : | 815-395-5575 |
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Business Location:
Patients can refer following map for directions to
The Board Of Trustees Of The University Of Illinois practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.