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Organization
COMMUNITY CONSOLID SCH DIS 204
Active
Organization
COMMUNITY CONSOLID SCH DIS 204
Active
Other names
Community Cons Sch Dist 204
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RESTOFF (BOOKKEEPER)
(618) 357-2419
Entity
Organization
Contact information
Practice address
6067 STATE ROUTE 154, PINCKNEYVILLE, IL 62274-3414
(618) 357-2419
(618) 357-3016
Mailing address
6067 STATE ROUTE 154, PINCKNEYVILLE, IL 62274-3414
(618) 357-2419
(618) 357-3016
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
03/14/2008
Last updated
04/20/2008
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