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Organization

KANKAKEE COUNTY HEALTH DEPT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BONNIE J SCHAAFSMA RN, BSN, MBA (PUBLIC HEALTH ADMINISTRATOR)
(815) 802-9393
Entity
Organization

Contact information

Practice address
2390 W STATION ST, KANKAKEE, IL 60901-3000
(815) 802-9392
(815) 802-9391
Mailing address
2390 W STATION ST, KANKAKEE, IL 60901-3000
(815) 802-9392
(815) 802-9391

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366006594001
IL
Enumeration date
02/05/2007
Last updated
05/03/2012
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