| Summit Sch Dist 104 | |
|
60th Street & 74th Ave Summit IL 60501 | |
| (708) 458-0505 | |
| (708) 728-3111 |
| Full Name | Summit Sch Dist 104 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 60th Street & 74th Ave, Summit, Illinois |
| Authorized Official Name and Position | Patricia Derrig (DIRECTOR) |
| Authorized Official Contact | 7084580505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Sch Dist 104 60th Street & 74th Ave Summit IL 60501 Ph: (708) 458-0505 | Summit Sch Dist 104 60th Street & 74th Ave Summit IL 60501 Ph: (708) 458-0505 |
| NPI Number | 1528183589 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528183589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Dilip M Shah Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6134 S Harlem Ave, Summit, IL 60501 Phone: 708-458-0102 | |
Pillars Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 W 63rd St, Summit, IL 60501 Phone: 708-745-5277 | |
Summit Medical Center S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6252 S Archer Rd, Summit, IL 60501 Phone: 708-496-9549 Fax: 708-728-9429 | |
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