Fox Lake Grade School District #114
NPI #1306117304 in Spring Grove, Illinois
Provider Information
- NPI Number
- 1306117304
- Entity Type
- Organization
- Organization Name
- Fox Lake Grade School District #114
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Jan 23, 2012
- Last Updated
- Jan 23, 2012
Practice Location
- Address
- 29067 W GRASS LAKE RD
- City
- Spring Grove
- State
- Illinois
- ZIP Code
- 60081-9494
- Phone
- (847) 973-4028
Authorized Official
- Name
- MRS. THERESE A HAY
- Title
- BUSINESS MANAGER
- Phone
- (847) 973-4028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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