| NPI | 1760400170 |
|---|---|
| Doing Business As | UIH-MILE SQUARE HEALTH CENTER AT SOUTH SHORE |
| Entity Type | Organization |
| Authorized Contact | HENRY TAYLOR CEO 312-413-1261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-12-17 |