Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
UI Health Mile Square Health Center Dental - 55th and Pulaski, UI Health Mile Square Gage Park, UI Health Mile Square Health Center Dental - 55th & Pulaski
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY STECKER (CFO)
(312) 355-7653
Entity
Organization
Contact information
Practice address
5525 S PULASKI RD STE 150, CHICAGO, IL 60629-4400
(312) 492-0060
Mailing address
7702 SOLUTION CENTER, CHICAGO, IL 60677-7007
(312) 413-3282
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
03/13/2026
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