Organization
GAVIN SCHOOL DISTRICT 37
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LEWIS (ADMINISTRATIVE ASSISTANT SPECIAL ED)
(224) 577-4105
Entity
Organization
Contact information
Practice address
25775 W HIGHWAY 134, INGLESIDE, IL 60041-9587
(224) 577-4105
Mailing address
25775 W HIGHWAY 134, INGLESIDE, IL 60041-9587
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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