NPI | 1578213948 |
---|---|
Doing Business As | PULASKI AT UIC |
Entity Type | Organization |
Authorized Contact | VERNEDA BACHUS CFO 773-702-2193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-03-28 |
Last Update Date | 2022-03-28 |