Organization
BYRON CUSD 226
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE JANSEN (MEDICAID ADMIN)
(815) 234-5491
Entity
Organization
Contact information
Practice address
696 N COLFAX ST, BYRON, IL 61010-1439
(815) 234-5491
Mailing address
PO BOX 911, BYRON, IL 61010-0911
(815) 234-5491
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
04/20/2008
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