| NPI | 1780326165 |
|---|---|
| Doing Business As | MILE SQUARE CICERO |
| Entity Type | Organization |
| Authorized Contact | HENRY TAYLOR CEO 312-413-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |