Organization
SHAWNEE C U SCHOOL
Active
Other names
Shawnee CUSD 84
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L SEALS (UNIT SECRETARY)
(618) 833-5709
Entity
Organization
Contact information
Practice address
3365 STATE HWY 3 N, 3365 STATE HWY 3 N, WOLF LAKE, IL 62998-0128
(618) 833-5709
(618) 833-4171
Mailing address
PO BOX 128, 3365 STATE HWY 3 N, WOLF LAKE, IL 62998-0128
(618) 833-5709
(618) 833-4171
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
04/16/2008
Last updated
04/20/2008
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