Organization
WEST CARROLL CUSD 314
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE GRIMM (MEDICAID ADMIN)
(815) 259-2735
Entity
Organization
Contact information
Practice address
801 SOUTH ST, THOMSON, IL 61285-7500
(815) 259-2735
Mailing address
801 SOUTH ST, THOMSON, IL 61285-7500
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
04/20/2008
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