NPI | 1952035123 |
---|---|
Other Name | NEAR NORTH HEALTH CORPORATION MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | CUSH MVUDUDU Controller 312-337-1073 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-07-13 |
Last Update Date | 2023-02-02 |