EVANSTON CC SCHOOL DIST 65 NPI 1063630010

NPI Information

NPI: 1063630010
Provider Name: EVANSTON CC SCHOOL DIST 65
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1500 MCDANIEL AVE
EVANSTON, IL
ZIP 60201
Phone: (847) 859-8090
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EVANSTON CC SCHOOL DIST 65 is a student health clinic center in Evanston, IL. EVANSTON CC SCHOOL DIST 65 NPI is 1063630010. The provider is registered as an organization entity type.

The provider's business location address is:

1500 MCDANIEL AVE
EVANSTON, IL
ZIP 60201-976
Phone: (847) 859-8090
Fax: (847) 859-8713

The provider's authorized official is Margie Lenoir-davis .
The authorized official title is Inter.dir. Of Office Of Spec. Serv. and has the following contact phone number (847) 859-8090.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 9/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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