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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