Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
Mile Square Cicero
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY TAYLOR (CEO)
(312) 413-1832
Entity
Organization
Contact information
Practice address
4747-51 CERMAK RD, CICERO, IL 60804
(312) 996-2000
Mailing address
7702 SOLUTION CENTER, CHICAGO, IL 60677-7007
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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