NPI | 1659725133 |
---|---|
Doing Business As | SUNNYSIDE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CUSH MVUDUDU Controller 312-337-1073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2023-01-27 |