| NPI | 1457523219 |
|---|---|
| Doing Business As | UIH-MILE SQUARE HEALTH CENTER AT BACK OF THE YARDS |
| Entity Type | Organization |
| Authorized Contact | HENRY TAYLOR CEO 312-413-1261 |
| 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 | 2015-12-17 |