Organization · Type 2 NPI
Shawnee Cusd 84
Student Health Clinic/Center · Wolf Lake, IL
NPI number
1295906030
Active
Practice location
3365 State Hwy 3 N, 3364 State Hwy 3 N
Wolf Lake, IL 62998-0128
Fax (618) 833-4171
Mailing address
PO Box 128, 3364 State Hwy. 3 N
Wolf Lake, IL 62998-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
Another provider at this address
Other student health clinic/center providers in Wolf Lake
About NPI 1295906030
Shawnee Cusd 84's National Provider Identifier is 1295906030, issued on Mar 20, 2008. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Wolf Lake, IL. The record was last updated on Apr 20, 2008.