NPI | 1356000236 |
---|---|
Doing Business As | UI HEALTH MILE SQUARE HEALTH CENTER PRIMARY AND IMMEDIATE CARE CENTER |
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 | 2021-12-08 |
Last Update Date | 2022-04-22 |