| 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 |