Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
UI Health Mile Square Health Center Back of the Yards Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
TIMOTHY STECKER (CFO)
(312) 355-7653
Entity
Organization
Contact information
Practice address
4634 S BISHOP ST, CHICAGO, IL 60609-3240
(312) 355-5570
Mailing address
1220 S WOOD ST, CHICAGO, IL 60608-1202
(312) 413-3282
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
06/27/2025
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