Organization · Type 2 NPI
South Shore School of Leadership Health Center
Student Health Clinic/Center · Chicago, IL
NPI number
1508294091
Active
Practice location
7627 S Constance Ave
Chicago, IL 60649-4009
Fax (312) 808-0655
Mailing address
2850 S Wabash Ave, Suite 203
Chicago, IL 60616-2955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | 042617358 (IL) |
Student Health Clinic/Center: Definition to come...
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About NPI 1508294091
South Shore School of Leadership Health Center's National Provider Identifier is 1508294091, issued on Oct 22, 2013. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Chicago, IL. The record was last updated on Oct 30, 2013.