| NPI | 1871749473 |
|---|---|
| Doing Business As | WINFIELD-MOODY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CUSH MVUDUDU Controller 312-337-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A09410001A) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2023-01-27 |