Organization
EVANSTON CC SCHOOL DIST 65
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGIE LENOIR-DAVIS (INTER.DIR. OF OFFICE OF SPEC. SERV.)
(847) 859-8090
Entity
Organization
Contact information
Practice address
1500 MCDANIEL AVE, EVANSTON, IL 60201-3976
(847) 859-8090
(847) 859-8713
Mailing address
1500 MCDANIEL AVE, EVANSTON, IL 60201-3976
(847) 859-8090
(847) 859-8713
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
09/29/2009
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