Organization
MIDLOTHIAN SCHOOL DITRICT 143
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOLLINGSWORTH (SUPERINTENDENT)
(708) 388-8920
Entity
Organization
Contact information
Practice address
14959 PULASKI RD, MIDLOTHIAN, IL 60445-3436
(708) 388-8920
Mailing address
14959 PULASKI RD, MIDLOTHIAN, IL 60445-3436
(708) 388-8920
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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