| Evanston Cc School Dist 65 | |
|
1500 Mcdaniel Ave Evanston IL 60201-3976 | |
| (847) 859-8090 | |
| (847) 859-8713 |
| Full Name | Evanston Cc School Dist 65 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1500 Mcdaniel Ave, Evanston, Illinois |
| Authorized Official Name and Position | Margie Lenoir-davis (INTER.DIR. OF OFFICE OF SPEC. SERV.) |
| Authorized Official Contact | 8478598090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Cc School Dist 65 1500 Mcdaniel Ave Evanston IL 60201-3976 Ph: (847) 859-8090 | Evanston Cc School Dist 65 1500 Mcdaniel Ave Evanston IL 60201-3976 Ph: (847) 859-8090 |
| NPI Number | 1063630010 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063630010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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