Shawnee Cusd 84

NPI #1295906030 in Wolf Lake, Illinois

Provider Information

NPI Number
1295906030
Entity Type
Organization
Organization Name
Shawnee Cusd 84
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Mar 20, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
3365 STATE HWY 3 N
Address 2
3364 STATE HWY 3 N
ZIP Code
62998-0128
Phone
(618) 833-5709

Authorized Official

Name
DEBRA L SEALS
Title
UNIT SECRETARY
Phone
(618) 833-5709

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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