Organization · Type 2 NPI
Fox Lake Grade School District #114
Student Health Clinic/Center · Spring Grove, IL
NPI number
1306117304
Active
Practice location
29067 W Grass Lake Rd
Spring Grove, IL 60081-9494
Fax (847) 973-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
About NPI 1306117304
Fox Lake Grade School District #114's National Provider Identifier is 1306117304, issued on Jan 23, 2012. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Spring Grove, IL. The record was last updated on Jan 23, 2012.