| NPI | 1932450160 |
|---|---|
| Doing Business As | UIC,MILE SQUARE HEALTH CENTER,DAVIS HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | HENRY TAYLOR Executive Director 312-312-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2020-10-15 |