| Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement | |
|
1725 Shomaker Dr Murphysboro IL 62966-2507 | |
| (618) 684-2109 | |
| Not Available |
| Full Name | Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1725 Shomaker Dr, Murphysboro, Illinois |
| Authorized Official Name and Position | Charles W Hamilton (DIRECTOR OF SPECIAL EDUCATION) |
| Authorized Official Contact | 6186842109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement 1725 Shomaker Dr Murphysboro IL 62966-2507 Ph: (618) 684-2109 | Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement 1725 Shomaker Dr Murphysboro IL 62966-2507 Ph: (618) 684-2109 |
| NPI Number | 1891819744 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891819744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
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