| Trico Unit Sch Dist 176 | |
|
16411 Highway 4 Campbell Hill IL 62916-0220 | |
| (618) 426-1111 | |
| (618) 426-3625 |
| Full Name | Trico Unit Sch Dist 176 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 16411 Highway 4, Campbell Hill, Illinois |
| Authorized Official Name and Position | John Denosky (SUPERINTENDENT) |
| Authorized Official Contact | 6184261111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trico Unit Sch Dist 176 Po Box 220 Campbell Hill IL 62916-0220 Ph: (618) 426-1111 | Trico Unit Sch Dist 176 16411 Highway 4 Campbell Hill IL 62916-0220 Ph: (618) 426-1111 |
| NPI Number | 1477728277 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477728277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Trico Unit Sch Dist 176 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16411 Highway 4, Campbell Hill, IL 62916 Phone: 618-426-1111 Fax: 618-426-3625 |