OrganizationActive
The Board of Trustees of the University of Illinois
NPI 1043727571 · Occupational Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1043727571
- Entity type
- Organization
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Bakston, Interim Director(312) 355-3554
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
835 S. Wolcott
Suite E-144; Mc 684
Chicago, IL 60612
Phone: (312) 996-7420
Fax: (312) 413-8485
Street-level locationGet directions
Mailing address
7732 Solutions Center
Chicago, IL 60677-7007
Other names (DBA / former)
- Doing business as
- Occupational Health Service Institute (ohsi)
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.