University of Illinois - Chicago
NPI 1174554331 · Early Intervention Provider Agency · Chicago, IL
University of Illinois - Chicago is a Early Intervention Provider Agency organization in Chicago, IL (NPI 1174554331).
Provider details
- NPI number
- 1174554331
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Parent organization
- University of Illinois
- Organization subpart
- Yes
- Authorized official
- Bo Fernhall, Director(312) 413-1567
Specialties & taxonomies
Agencies
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Developmental Therapist222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- College of Applied Health Sciences Faculty Practice
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Frequently asked questions
- What is University of Illinois - Chicago's NPI number?
- University of Illinois - Chicago's National Provider Identifier (NPI) is 1174554331, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University of Illinois - Chicago?
- University of Illinois - Chicago is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is University of Illinois - Chicago located?
- University of Illinois - Chicago's practice location on file with NPPES is 1640 W Roosevelt Rd, Chicago, IL 60608-1316.
- What is University of Illinois - Chicago's phone number?
- The practice phone number listed in the NPPES registry for University of Illinois - Chicago is (312) 413-1567.
- Who is the authorized official for University of Illinois - Chicago?
- The authorized official listed on University of Illinois - Chicago's NPPES record is Bo Fernhall, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University of Illinois - Chicago's NPI active?
- Yes — University of Illinois - Chicago's NPI (1174554331) is active in the NPPES registry as of the last update on 2022-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.