Organization · Type 2 NPI
Mile Square Davis/brighton Park Satellite Health and Wellness Center
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1497293344
Active
Practice location
3825 S Washtenaw Ave
Chicago, IL 60632-1633
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 1497293344
Mile Square Davis/brighton Park Satellite Health and Wellness Center's National Provider Identifier is 1497293344, issued on Feb 10, 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.