Organization
ST JOSEPH OGDEN CHSD 305
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR ZIMMERMAN (SUPT)
(217) 469-2586
Entity
Organization
Contact information
Practice address
301 N MAIN, SAINT JOSEPH, IL 61873-0890
(217) 469-2586
Mailing address
PO BOX 890, SAINT JOSEPH, IL 61873-0890
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
001
IL
Other
Enumeration date
05/14/2007
Last updated
07/21/2022
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