Organization
ROCKFORD SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN FRASER SIMMERMAN (CERTIFIED SCHOOL NURSE)
(815) 398-3976
Entity
Organization
Contact information
Practice address
401 N GARDINER AVE, ROCKFORD, IL 61107-4338
(815) 398-3976
Mailing address
401 N GARDINER AVE, ROCKFORD, IL 61107-4338
(815) 398-3976
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
041.143917
IL
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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