THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

CHICAGO, IL
NPI1780309948
Doing Business AsUI HEALTH MILE SQUARE HEALTH CENTER DENTAL - 55TH & PULASKI
Entity TypeOrganization
Authorized ContactHENRY TAYLOR
CEO
312-413-3282
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
5525 S PULASKI RD STE 150
CHICAGO, IL 60629-4400
Phone number: 312-355-5570
Mailing Address
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
7702 SOLUTION CENTER
CHICAGO, IL 60677-7007
Phone number: 312-413-3282