Mile Square Health Center Dpp

LBN: The Board Of Trustees Of The University Of Illinois
Mile Square Health Center Dpp is an health care organization with primary practice located at 1220 S Wood St , Chicago IL 60608-1202. The organization recently has only one registered license in Other Service Providers / Health Educator, which is considered as the primary health care specialty. The Board Of Trustees Of The University Of Illinois can be contacted via phone (312) 413-3282, or through Taylor, Henry via phone (312) 413-1832.

Contact Information

Primary practice address
1220 S Wood St Chicago IL 60608-1202
Phone: (312) 413-3282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Henry
Phone: (312) 413-1832

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1851041677
LBN Legal business name The Board Of Trustees Of The University Of Illinois
DBA Doing business as Mile Square Health Center Dpp
Authorized official Taylor, Henry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2022
Last updated Apr 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851041677 NPPES
Illinois MEDICAID 174H00000X

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