| The Board Of Trustees Of The University Of Illinois | |
|
840 Blackhawk Blvd South Beloit IL 61080-2263 | |
| (815) 395-5861 | |
| (815) 395-5575 |
| Full Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 840 Blackhawk Blvd, South Beloit, Illinois |
| Authorized Official Name and Position | Michael Harner (DIRECTOR OF FINANCIAL AFFAIRS) |
| Authorized Official Contact | 8153955637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Board Of Trustees Of The University Of Illinois 1601 Parkview Ave Rockford IL 61107-1822 Ph: (815) 395-5861 | The Board Of Trustees Of The University Of Illinois 840 Blackhawk Blvd South Beloit IL 61080-2263 Ph: (815) 395-5861 |
| NPI Number | 1871905190 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871905190 | NPI | - | NPPES |
| PENDING | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Beloit Clinic, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Blackhawk Blvd, South Beloit, IL 61080 Phone: 608-364-1348 Fax: 608-364-2338 | |
Crusaders Central Clinic Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Blackhawk Blvd, South Beloit, IL 61080 Phone: 815-490-1600 | |
County Of Winnebago Sch Dist 320 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Prairie Hill Rd, South Beloit, IL 61080 Phone: 815-589-3478 Fax: 815-389-3477 | |
Board Of Trustees Of The University Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Prairie Hill Rd, South Beloit, IL 61080 Phone: 815-389-9252 Fax: 815-389-9264 | |
South Beloit Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Pate Plaza Dr, South Beloit, IL 61080 Phone: 630-219-2002 | |
Crusaders Central Clinic Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Prairie Hill Rd, South Beloit, IL 61080 Phone: 815-490-1600 |