The Board of Trustees of the University of Illinois
Doing business as University of Il at Chicago - Mile Square HC at Ba
Federally qualified health center in Chicago, IL, Medicare certification number 141074.
Medicare certification
Provider of Services- CCN
- 141074
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- Non-profit – corporation
- Participating since
- Jun 30, 2008
- Last certification
- Jun 30, 2008
- Address
- 4630 South Bishop Street
Chicago, IL 60609
(312) 413-1621
NPI records for this facility (CCN to NPI Mapping) 1
-
dba UIH-Mile Square Health Center at Back of The Yards
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1457523219
Medicare enrollment
Related certifications
Other federally qualified health centers in Chicago, IL
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.