BLACKHAWK PARK SCHOOL is a student health clinic center in Rockford, IL. BLACKHAWK PARK SCHOOL NPI is 1659500833. The provider is registered as an organization entity type.
The provider's business location address is:
330 15TH AVE
ROCKFORD, IL
ZIP 61104-155
Phone: (815) 972-7200
Fax: (815) 720-4001
The provider's authorized official is J Maichle Bacon .
The authorized official title is Administrator and has the following contact phone number (815) 720-4011.
The enumeration date for this NPI number is 7/8/2009 and was last updated on 12/12/2012.