University Medical Services At Parkview

LBN: Board Of Trustees Of The University Of Illinois
University Medical Services At Parkview is an health care organization with primary practice located at 1601 Parkview Ave , Rockford IL 61107-1822. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Board Of Trustees Of The University Of Illinois can be contacted via phone (815) 395-5637, or through Sriram, Uma via phone (815) 395-5637.

Contact Information

Primary practice address
1601 Parkview Ave Rockford IL 61107-1822
Phone: (815) 395-5637
Fax: (815) 395-5887
Website:
Map and Directions
Authorized official contact:
Name: Sriram, Uma
Phone: (815) 395-5637

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1003218348
LBN Legal business name Board Of Trustees Of The University Of Illinois
DBA Doing business as University Medical Services At Parkview
Authorized official Sriram, Uma
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2014
Last updated Apr 27th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003218348 NPPES
Illinois MEDICAID PENDING

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