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Giant City Cc School Dist 130
Student Health Clinic/Center in Carbondale, Illinois
NPI 1508982703

Giant City Cc School Dist 130 is a Student Health Clinic/Center based in Carbondale, IL and is specialized in Student Health. Giant City Cc School Dist 130 practices in Carbondale, IL. The NPI Number for Giant City Cc School Dist 130 is 1508982703 and holds a License No. (Illinois).

The current practice location address for Giant City Cc School Dist 130 is 1062 Boskydell Rd, Carbondale, IL and can be reached out via phone at 618-457-5391 and via fax at 618-549-5060.

Location: 1062 Boskydell Rd, Carbondale, IL, 62902-7743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508982703
Provider Name
Giant City Cc School Dist 130
Credential
Provider Entity Type
Organization
Address
1062 Boskydell Rd, Carbondale, IL, 62902-7743
Phone Number
618-457-5391
Fax Number
618-549-5060
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1062 Boskydell Rd
City
Carbondale
State
Illinois
Zip
62902-7743
Phone Number
618-457-5391
Fax Number
618-549-5060
person
Provider Business Mailing Address Details
Address
1062 Boskydell Rd
City
Carbondale
State
Illinois
Zip
62902-7743
Phone Number
618-457-5391
Fax Number
618-549-5060
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
(Illinois)
Definition
Definition to come...
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