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Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Other names
TriCounty Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PRITCHARD PH.D. (INTERIM DEAN)
(815) 753-6155
Entity
Organization
Contact information
Practice address
21193 MALTA RD, MALTA, IL 60150-9600
(815) 753-9010
(815) 753-9018
Mailing address
21193 MALTA RD, MALTA, IL 60150-9600
(815) 753-9010
(815) 753-9018
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/06/2007
Last updated
04/27/2012
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