NPI | 1780309948 |
---|---|
Doing Business As | UI HEALTH MILE SQUARE HEALTH CENTER DENTAL - 55TH & PULASKI |
Entity Type | Organization |
Authorized Contact | HENRY TAYLOR CEO 312-413-3282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2022-10-10 |