Kankakee School District 111 School-Based Health Center

NPI #1235256520 in Kankakee, Illinois

Provider Information

NPI Number
1235256520
Entity Type
Organization
Organization Name
Kankakee School District 111 School-Based Health Center
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 23, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
2250 E CRESTWOOD ST
ZIP Code
60901-2803
Phone
(815) 933-0772

Authorized Official

Name
DR. BRIAN ALI
Title
SUPERINTENDENT
Phone
(815) 933-0772

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Clinic/Center - Student HealthStudent Health

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