HANOVER TOWNSHIP NPI 1104990993

NPI Information

HANOVER TOWNSHIP is a community health clinic center in Bartlett, IL. HANOVER TOWNSHIP NPI is 1104990993. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Nursing Program.

The provider's business location address is:

240 S ROUTE 59
BARTLETT, IL
ZIP 60103-648
Phone: (630) 483-5665
Fax: (630) 483-5662

The provider's authorized official is Brain Patrick Mcguire .
The authorized official title is Clerk and has the following contact phone number (630) 837-0301.

The CLIA number assigned to this NPI record is 14D1056232 - public health laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

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:

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