Mile Square Davis/Brighton Park Satellite Health and Wellness Center
Mile Square Davis/Brighton Park Satellite Health and Wellness Center is a Federally Qualified Health Center (FQHC) in Chicago, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3825 S Washtenaw AveChicago, IL 60632-1633
Phone: (773) 376-5293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1497293344 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | The Board of Trustees of the University of Illinois |
| Authorized official | Henry Taylor — Executive Director · (312) 412-1261 |
| NPI enumerated | February 10, 2017 |
| Last updated in NPPES | September 4, 2019 |
| Mailing address | 3825 S Washtenaw Ave, Chicago, IL 60632-1633 |
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