| Carbondale Elem Sch Dist 95 | |
|
925 S Giant City Rd Carbondale IL 62902-5056 | |
| (618) 457-3591 | |
| (618) 457-4411 |
| Full Name | Carbondale Elem Sch Dist 95 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 925 S Giant City Rd, Carbondale, Illinois |
| Authorized Official Name and Position | John K Williams (ASSISTANT SUPERINTENDENT) |
| Authorized Official Contact | 6184573591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbondale Elem Sch Dist 95 925 S Giant City Rd Carbondale IL 62902-5056 Ph: (618) 457-3591 | Carbondale Elem Sch Dist 95 925 S Giant City Rd Carbondale IL 62902-5056 Ph: (618) 457-3591 |
| NPI Number | 1972774156 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972774156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 374 East Grand Avenue, Mail Code 674d, Carbondale, IL 62901 Phone: 618-453-3311 Fax: 618-453-4449 | |
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Cedar Court Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Cedar Ct, Carbondale, IL 62901 Phone: 618-351-1213 Fax: 618-351-1905 | |
Southern Illinois Gi Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434 | |
Carbondale Community High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Giant City Rd, Carbondale, IL 62902 Phone: 618-457-4722 Fax: 618-457-3353 | |
Center For Medical Arts Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St Ste 100, Carbondale, IL 62901 Phone: 217-545-8000 |