| Rockford School District | |
|
401 N Gardiner Ave Rockford IL 61107-4338 | |
| (815) 398-3976 | |
| Not Available |
| Full Name | Rockford School District |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 401 N Gardiner Ave, Rockford, Illinois |
| Authorized Official Name and Position | Susan Fraser Simmerman (CERTIFIED SCHOOL NURSE) |
| Authorized Official Contact | 8153983976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford School District 401 N Gardiner Ave Rockford IL 61107-4338 Ph: (815) 398-3976 | Rockford School District 401 N Gardiner Ave Rockford IL 61107-4338 Ph: (815) 398-3976 |
| NPI Number | 1033478383 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033478383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 041.143917 (Illinois) | Primary |
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