Community College District 536

NPI #1679758387 in Godfrey, Illinois

Provider Information

NPI Number
1679758387
Entity Type
Organization
Organization Name
Community College District 536
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 2, 2008
Last Updated
Feb 17, 2016

Practice Location

Address
5800 GODFREY RD
Address 2
FOBES 1525
ZIP Code
62035-2426
Phone
(618) 468-6800

Authorized Official

Name
MR. DALE CHAPMAN
Title
PRESIDENT
Phone
(618) 468-4440

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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