Organization
SUMMIT SCH DIST 104
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DERRIG (DIRECTOR)
(708) 458-0505
Entity
Organization
Contact information
Practice address
60TH STREET & 74TH AVE, SUMMIT, IL 60501
(708) 458-0505
(708) 728-3111
Mailing address
60TH STREET & 74TH AVE, SUMMIT, IL 60501
(708) 458-0505
(708) 728-3111
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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