Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Mile Square Auburn Gresham Health and Wellness Center IHH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY TAYLOR (CEO)
(312) 413-1261
Entity
Organization
Contact information
Practice address
8131 S MAY ST, CHICAGO, IL 60620-3007
(312) 996-4656
Mailing address
1220 S WOOD ST, CHICAGO, IL 60608-1202
(312) 413-1261
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/25/2018
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