Evanston Township High School Health Center | |
1600 Dodge Ave Room H-101 Evanston IL 60201-3449 | |
(847) 424-7265 | |
(847) 492-5809 |
Full Name | Evanston Township High School Health Center |
---|---|
Speciality | Clinic/center - Student Health |
Location | 1600 Dodge Ave, Evanston, Illinois |
Authorized Official Name and Position | Kathryn Swartwout (SITE MANAGER) |
Authorized Official Contact | 8474247265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evanston Township High School Health Center 1600 Dodge Ave Room H-101 Evanston IL 60201-3449 Ph: (847) 424-7265 | Evanston Township High School Health Center 1600 Dodge Ave Room H-101 Evanston IL 60201-3449 Ph: (847) 424-7265 |
NPI Number | 1073659280 |
---|---|
Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073659280 | NPI | - | NPPES |
366004393002 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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