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413 N Appleknocker St Cobden IL 62920-2121 | |
(618) 893-2313 | |
(618) 893-4772 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 413 N Appleknocker St, Cobden, Illinois |
Authorized Official Name and Position | Karl Sweitzer (SUPERINTENDENT) |
Authorized Official Contact | 6188932313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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413 N Appleknocker St Cobden IL 62920-2121 Ph: (618) 893-2313 | 413 N Appleknocker St Cobden IL 62920-2121 Ph: (618) 893-2313 |
NPI Number | 1720104938 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720104938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |