| NPI | 1033135041 |
|---|---|
| Doing Business As | UIC-MSHC JAMES JORDAN FAMILY LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | INN LEE Associate Director 312-413-9854 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-08-04 |