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Organization

FOX LAKE GRADE SCHOOL DISTRICT #114

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THERESE A HAY (BUSINESS MANAGER)
(847) 973-4028
Entity
Organization

Contact information

Practice address
29067 W GRASS LAKE RD, SPRING GROVE, IL 60081-9494
(847) 973-4028
(847) 973-4010
Mailing address
29067 W GRASS LAKE RD, SPRING GROVE, IL 60081-9494
(847) 973-4028
(847) 973-4010

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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