Organization
CARBONDALE ELEM SCH DIST 95
Active
Other names
Carbondale Elem School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K WILLIAMS SPECIALIST (ASSISTANT SUPERINTENDENT)
(618) 457-3591
Entity
Organization
Contact information
Practice address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
(618) 457-2043
Mailing address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
(618) 457-2043
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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