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Kankakee School District 111 School-based Health Center
Student Health Clinic/Center in Kankakee, Illinois
NPI 1235256520

Kankakee School District 111 School-based Health Center is a Student Health Clinic/Center based in Kankakee, IL and is specialized in Student Health. Kankakee School District 111 School-based Health Center practices in Kankakee, IL. The NPI Number for Kankakee School District 111 School-based Health Center is 1235256520 and holds a License No. (Illinois).

The current practice location address for Kankakee School District 111 School-based Health Center is 2250 E Crestwood St, Kankakee, IL and can be reached out via phone at 815-933-0772 and via fax at 815-933-6730.

Location: 2250 E Crestwood St, Kankakee, IL, 60901-2803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235256520
Provider Name
Kankakee School District 111 School-based Health Center
Credential
Provider Entity Type
Organization
Address
2250 E Crestwood St, Kankakee, IL, 60901-2803
Phone Number
815-933-0772
Fax Number
815-933-6730
Provider Enumeration Date
03/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
336004784004 05 IL
institution
Provider Business Practice Location Address Details
Address
2250 E Crestwood St
City
Kankakee
State
Illinois
Zip
60901-2803
Phone Number
815-933-0772
Fax Number
815-933-6730
person
Provider Business Mailing Address Details
Address
2250 E Crestwood St
City
Kankakee
State
Illinois
Zip
60901-2803
Phone Number
815-933-0772
Fax Number
815-933-6730
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
(Illinois)
Definition
Definition to come...
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