St Joseph Ccsd169
NPI #1689899288 in Saint Joseph, Illinois
Provider Information
- NPI Number
- 1689899288
- Entity Type
- Organization
- Organization Name
- St Joseph Ccsd169
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 409 S 5TH ST
- City
- Saint Joseph
- State
- Illinois
- ZIP Code
- 61873-9041
- Phone
- (217) 469-2291
Authorized Official
- Name
- TODD PENCE
- Title
- SUPERINTENDENT
- Phone
- (217) 469-2291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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