| Evanston Township High School Health Center | |
|
1600 Dodge Ave Room H-101 Evanston IL 60201-3449 | |
| (847) 424-7265 | |
| (847) 492-5809 |
| Full Name | Evanston Township High School Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1600 Dodge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Kathryn Swartwout (SITE MANAGER) |
| Authorized Official Contact | 8474247265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Township High School Health Center 1600 Dodge Ave Room H-101 Evanston IL 60201-3449 Ph: (847) 424-7265 | Evanston Township High School Health Center 1600 Dodge Ave Room H-101 Evanston IL 60201-3449 Ph: (847) 424-7265 |
| NPI Number | 1073659280 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073659280 | NPI | - | NPPES |
| 366004393002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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