HYGIENIC INSTITUTE FOR LASALLE PERU AND OGLESBY NPI 1912944703

NPI Information

HYGIENIC INSTITUTE FOR LASALLE, PERU AND OGLESBY is a rural health clinic center in La Salle, IL. HYGIENIC INSTITUTE FOR LASALLE, PERU AND OGLESBY NPI is 1912944703. The provider is registered as an organization entity type.
The provider Other Name Is Hygienic Institute Community Health Center.

The provider's business location address is:

2970 CHARTRES ST
LA SALLE, IL
ZIP 61301-097
Phone: (815) 223-0196
Fax: (815) 223-0358

The provider's authorized official is Lorene Munson .
The authorized official title is Director and has the following contact phone number (815) 223-0196.

The CLIA number assigned to this NPI record is 14D0712634 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/20/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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