Organization
LIVINGSTON CO PUBLIC HLTH DEPT
Active
Other names
IMMUNIZATION
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA HILLMAN (ADMINISTRATOR)
(815) 844-7174
Entity
Organization
Contact information
Practice address
310 E TORRANCE, PONTIAC, IL 61764-0650
(815) 844-7174
(815) 842-1063
Mailing address
P O BOX 650, 310 E TORRANCE, PONTIAC, IL 61764-0650
(815) 844-7174
(815) 842-1063
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6176416
—
IL
Enumeration date
04/09/2008
Last updated
04/09/2008
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