| Unity Point Cc School Dist 140 | |
|
4033 S Illinois Ave Carbondale IL 62903-8375 | |
| (618) 529-4151 | |
| (618) 529-4154 |
| Full Name | Unity Point Cc School Dist 140 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 4033 S Illinois Ave, Carbondale, Illinois |
| Authorized Official Name and Position | William E Laser (ACCOUNTANT) |
| Authorized Official Contact | 6185294151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unity Point Cc School Dist 140 4033 S Illinois Ave Carbondale IL 62903-8375 Ph: (618) 529-4151 | Unity Point Cc School Dist 140 4033 S Illinois Ave Carbondale IL 62903-8375 Ph: (618) 529-4151 |
| NPI Number | 1528234499 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528234499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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