NPI | 1760400170 |
---|---|
Doing Business As | UIH-MILE SQUARE HEALTH CENTER AT SOUTH SHORE |
Entity Type | Organization |
Authorized Contact | TIMOTHY STECKER CFO 312-355-7653 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2025-07-10 |