Organization
LIVINGSTON CO PUBLIC HLTH DEPT
Active
Organization
LIVINGSTON CO PUBLIC HLTH DEPT
Active
Other names
Pontiac Township High School SCHOOL BASE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA HILLMAN (ADMINISTRATOR)
(815) 844-7174
Entity
Organization
Contact information
Practice address
1100 E INDIANA AVE, PONTIAC, IL 61764-1204
(815) 844-6113
(815) 842-6517
Mailing address
310 E TORRANCE AVE, PONTIAC, IL 61764-2748
(815) 844-7174
(815) 842-4104
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6176414
—
IL
Enumeration date
04/09/2008
Last updated
12/28/2011
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