Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Parent organization
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
Mile Square Auburn Gresham Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
DR. CYNTHIA BOYD PHD, FAAN (DIRECTOR)
(312) 996-4656
Entity
Organization
Contact information
Practice address
8131 S MAY ST, CHICAGO, IL 60620-3007
(312) 996-4656
(312) 996-3848
Mailing address
8131 S MAY ST, CHICAGO, IL 60620-3007
(312) 996-4656
(312) 996-3848
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/28/2014
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