Organization · Type 2 NPI
Mile Square Englewood/cook Satellite Health and Wellness Center
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1487193181
Active
Practice location
8150 S Bishop St
Chicago, IL 60620-3854
Fax (773) 783-1356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1487193181
Mile Square Englewood/cook Satellite Health and Wellness Center's National Provider Identifier is 1487193181, issued on Feb 15, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Sep 4, 2019.