Organization
THE KISHWAUKEE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPEIGELHOFF (CEO)
(815) 756-9577
Entity
Organization
Contact information
Practice address
2500 BETHANY RD, SYCAMORE, IL 60178-3129
(815) 756-9577
(815) 758-4549
Mailing address
2500 BETHANY RD, SYCAMORE, IL 60178-3129
(815) 756-9577
(815) 758-4549
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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