| Ccsd 15 | |
|
580 N 1st Bank Dr Palatine IL 60067-8110 | |
| (847) 963-3146 | |
| (847) 693-3145 |
| Full Name | Ccsd 15 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 580 N 1st Bank Dr, Palatine, Illinois |
| Authorized Official Name and Position | Patti Degiulio (COORDINATOR) |
| Authorized Official Contact | 8479633146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccsd 15 580 N 1st Bank Dr Palatine IL 60067-8110 Ph: (847) 963-3146 | Ccsd 15 580 N 1st Bank Dr Palatine IL 60067-8110 Ph: (847) 963-3146 |
| NPI Number | 1952435802 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952435802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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