OrganizationActive
Board of Trustees of the University of Illinois
NPI 1255761961 · Student Health Clinic/Center · Rockford, IL
Provider details
- NPI number
- 1255761961
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Uma Sriram, Director of Fiscal Affairs(815) 395-5637
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
330 15th Ave
Rockford, IL 61104-5155
Phone: (815) 395-5858
Fax: (815) 968-2035
Street-level locationGet directions
Mailing address
1601 Parkview Ave
Rockford, IL 61107-1822
Other names (DBA / former)
- Doing business as
- University Clinic at Blackhawk
Registry dates
- Enumerated
- 2013-11-15
- Last updated
- 2016-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.