| Esl School Based Clinic | |
|
3939 Caseyville Ave East Saint Louis IL 62204-2448 | |
| (618) 482-4562 | |
| (618) 482-4930 |
| Full Name | Esl School Based Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3939 Caseyville Ave, East Saint Louis, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CEO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esl School Based Clinic 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Esl School Based Clinic 3939 Caseyville Ave East Saint Louis IL 62204-2448 Ph: (618) 482-4562 |
| NPI Number | 1831254234 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831254234 | NPI | - | NPPES |
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