NPI | 1457523219 |
---|---|
Doing Business As | UIH-MILE SQUARE HEALTH CENTER AT BACK OF THE YARDS |
Entity Type | Organization |
Authorized Contact | TIMOTHY STECKER CFO 312-355-7653 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2025-06-27 |