Organization · Type 2 NPI
Kankakee School District 111 School-Based Health Center
Student Health Clinic/Center · Kankakee, IL
NPI number
1235256520
Active
Practice location
2250 E Crestwood St
Kankakee, IL 60901-2803
Fax (815) 933-6730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
| Student Health Clinic/Center | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
Another provider at this address
Other student health clinic/center providers in Kankakee
About NPI 1235256520
Kankakee School District 111 School-Based Health Center's National Provider Identifier is 1235256520, issued on Mar 23, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Kankakee, IL. The record was last updated on Apr 20, 2008.