OrganizationActive
The Board of Trustees of the University of Illinois
NPI 1124787908 · Federally Qualified Health Center (FQHC) · Chicago, IL
Provider details
- NPI number
- 1124787908
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- The Board of Trustees of the University of Illinois
- Organization subpart
- Yes
- Authorized official
- Timothy Stecker, Cfo(312) 355-7653
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4634 S Bishop St
Chicago, IL 60609-3240
Phone: (312) 355-5570
Street-level locationGet directions
Mailing address
1220 S Wood St
Chicago, IL 60608-1202
Other names (DBA / former)
- Doing business as
- Ui Health Mile Square Health Center Back of the Yards Dental
- Doing business as
- Ui Health Mile Square Health Center Back of the Yards Dental
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.