MILE SQUARE ENGLEWOOD/COOK SATELLITE HEALTH AND WELLNESS CENTER NPI 1487193181

NPI Information

MILE SQUARE ENGLEWOOD/COOK SATELLITE HEALTH AND WELLNESS CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. MILE SQUARE ENGLEWOOD/COOK SATELLITE HEALTH AND WELLNESS CENTER NPI is 1487193181. The provider is registered as an organization entity type.

The provider's business location address is:

8150 S BISHOP ST
CHICAGO, IL
ZIP 60620-854
Phone: (773) 783-1370
Fax: (773) 783-1356

The provider's authorized official is Henry Taylor .
The authorized official title is Excetive Director and has the following contact phone number (312) 413-1261.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 9/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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