St. Joseph Ccsd #169
NPI #1326217100 in Saint Joseph, Illinois
Provider Information
- NPI Number
- 1326217100
- Entity Type
- Organization
- Organization Name
- St. Joseph Ccsd #169
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Feb 26, 2008
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 404 S 5TH ST
- City
- Saint Joseph
- State
- Illinois
- ZIP Code
- 61873-9073
- Phone
- (217) 469-2291
Authorized Official
- Name
- MR. TODD EUGENE PENCE
- Title
- SUPERINTENDENT
- Phone
- (217) 469-2291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
Similar Providers
| Provider Name | |
|---|---|
| Christopher Lee Hack, ATC | |
| Brian Kretschmer, ATC | |
| MRS. Kathryn Ann Powell, ATC | |
| MR. Dale Forrest Grooms, ATC | |
| Irene J Checks, PHD |
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