Blackhawk Park School
NPI #1659500833 in Rockford, Illinois
Provider Information
- NPI Number
- 1659500833
- Entity Type
- Organization
- Organization Name
- Blackhawk Park School
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WINNEBAGO COUNTY HEALTH DEPARTMENT
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Jul 8, 2009
- Last Updated
- Dec 12, 2012
Practice Location
Authorized Official
- Name
- MR. J MAICHLE BACON
- Title
- ADMINISTRATOR
- Phone
- (815) 720-4011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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