Kankakee School District 111 School-based Health Center

NPI 1235256520 - Dentist - 1223G0001X

NPI Details
NPI 1235256520
Enumeration Date 03/23/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN BRIAN
Position SUPERINTENDENT
Phone (815) 933-0772
Fax (815) 933-6730
Practice Location
2250 E CRESTWOOD ST
KANKAKEE IL, 60901-2803, US
Phone (815) 933-0772
Fax (815) 933-6730
Business Location
2250 E CRESTWOOD ST
KANKAKEE IL, 60901-2803, US
Phone (815) 933-0772
Fax (815) 933-6730
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1235256520 NPI Number
 

According to our database, Kankakee School District 111 School-based Health Center NPI is 1235256520, taxonomy code is 1223G0001X Kankakee School District 111 School-based Health Center physically located at 2250 E Crestwood St, Kankakee IL, 60901-2803. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1235256520 NPI number is provided on an as is basis without warranty of any kind. 1235256520 is maintained by the National Plan & Provider Enumeration System. The contents of Kankakee School District 111 School-based Health Center are for informational purposes only.