Organization
EVERGREEN PARK CU HS DIST 231
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORAH FAHLEN (DIRECTOR)
(708) 424-7400
Entity
Organization
Contact information
Practice address
9901 S KEDZIE AVE, EVERGREEN PARK, IL 60805-3416
(708) 424-7400
(708) 424-7497
Mailing address
9901 S KEDZIE AVE, EVERGREEN PARK, IL 60805-3416
(708) 424-7400
(708) 424-7497
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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