| NPI | 1124787908 |
|---|---|
| Doing Business As | UI HEALTH MILE SQUARE HEALTH CENTER BACK OF THE YARDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | HENRY TAYLOR CEO 312-413-1261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-02-08 |