NPI | 1659725133 |
---|---|
Doing Business As | SUNNYSIDE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TRISTE SMITH Chief Executive Officer 312-337-1073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2024-10-15 |