Ludlow Ccsd 142 | |
245 South Orange Ludlow IL 60949 | |
(217) 396-5261 | |
Not Available |
Full Name | Ludlow Ccsd 142 |
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Speciality | Clinic/center - Student Health |
Location | 245 South Orange, Ludlow, Illinois |
Authorized Official Name and Position | Jerry Zachary (SUPERINTENDENT) |
Authorized Official Contact | 2173965261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ludlow Ccsd 142 Po Box 130 Ludlow IL 60949-0130 Ph: (217) 396-5261 | Ludlow Ccsd 142 245 South Orange Ludlow IL 60949 Ph: (217) 396-5261 |
NPI Number | 1992907588 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1992907588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |