NPI | 1124787908 |
---|---|
Doing Business As | UI HEALTH MILE SQUARE HEALTH CENTER BACK OF THE YARDS DENTAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY STECKER CFO 312-355-7653 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2025-06-27 |