College Of Applied Health Sciences Faculty Practice

LBN: University Of Illinois - Chicago
College Of Applied Health Sciences Faculty Practice is an health care organization with primary practice located at 1640 W Roosevelt Rd Room 336 (Mc 628), Chicago IL 60608-1316. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Occupational Medicine. Agencies / Early Intervention Provider Agency is the primary health care specialty. University Of Illinois - Chicago can be contacted via phone (312) 413-1567, or through Fernhall, Bo L. via phone (312) 413-1567.

Contact Information

Primary practice address
1640 W Roosevelt Rd Room 336 (Mc 628) Chicago IL 60608-1316
Phone: (312) 413-1567
Fax: (312) 413-1993
Website:
Map and Directions
Authorized official contact:
Name: Fernhall, Bo L. PHD
Phone: (312) 413-1567

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1174554331
LBN Legal business name University Of Illinois - Chicago
DBA Doing business as College Of Applied Health Sciences Faculty Practice
Authorized official Fernhall, Bo L. PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jan 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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