City of Evanston

NPI #1790957884 in Evanston, Illinois

Provider Information

NPI Number
1790957884
Entity Type
Organization
Organization Name
City of Evanston
Primary Specialty
Clinic/Center - Public Health, State or Local
Enumeration Date
Mar 28, 2008
Last Updated
Mar 28, 2008

Practice Location

Address
2100 RIDGE AVE
Address 2
CHILDREN'S DENTAL CLINIC
ZIP Code
60201-2716
Phone
(847) 866-2953

Authorized Official

Name
CARLA BUSH
Title
CHIEF, COMMUNITY HEALTH SERVICES
Phone
(847) 328-2100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Public Health, State or LocalPublic Health, State or Local

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