| Cook County School Dist 130 | |
|
12300 Greenwood Ave Blue Island IL 60406-1558 | |
| (708) 385-6800 | |
| Not Available |
| Full Name | Cook County School Dist 130 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 12300 Greenwood Ave, Blue Island, Illinois |
| Authorized Official Name and Position | Michael Korsak (SUPERINTENDENT) |
| Authorized Official Contact | 7083856800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook County School Dist 130 12300 Greenwood Ave Blue Island IL 60406-1558 Ph: (708) 385-6800 | Cook County School Dist 130 12300 Greenwood Ave Blue Island IL 60406-1558 Ph: (708) 385-6800 |
| NPI Number | 1841335981 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841335981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
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D/b/a Metro South Medical Center Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4505 | |
Usacs Integrated Acute Care Services Of Illinois, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 330-493-4443 |