| Ui Health Mile Square Health Center Primary And Immediate Care Center | |
|
839 W 79th St Chicago IL 60620-2501 | |
| (312) 996-2000 | |
| Not Available |
| Full Name | Ui Health Mile Square Health Center Primary And Immediate Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 839 W 79th St, Chicago, Illinois |
| Authorized Official Name and Position | Henry Taylor (CEO) |
| Authorized Official Contact | 3124131261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ui Health Mile Square Health Center Primary And Immediate Care Center 1220 S Wood St Chicago IL 60608-1202 Ph: (312) 413-3282 | Ui Health Mile Square Health Center Primary And Immediate Care Center 839 W 79th St Chicago IL 60620-2501 Ph: (312) 996-2000 |
| NPI Number | 1356000236 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 3072422716 |
|---|---|
| Medicare Enrollment ID | O20220711002652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356000236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |