Organization
EVANSTON TOWNSHIP HIGH SCHOOL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN SWARTWOUT APN (SITE MANAGER)
(847) 424-7265
Entity
Organization
Contact information
Practice address
1600 DODGE AVE, ROOM H-101, EVANSTON, IL 60201-3449
(847) 424-7265
(847) 492-5809
Mailing address
1600 DODGE AVE, ROOM H-101, EVANSTON, IL 60201-3449
(847) 424-7265
(847) 492-5809
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366004393002
—
IL
Enumeration date
01/29/2007
Last updated
08/22/2020
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