Organization
CRESTON COMM SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN COLLINS (MEDICAID ADMIN)
(815) 382-3920
Entity
Organization
Contact information
Practice address
202 W SOUTH STREET, ROCHELLE, IL 61068
(815) 382-3920
Mailing address
PO BOX 37, CRESTON, IL 60113-0037
(815) 382-3920
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
04/20/2008
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