Rockford School District | |
401 N Gardiner Ave Rockford IL 61107-4338 | |
(815) 398-3976 | |
Not Available |
Full Name | Rockford School District |
---|---|
Speciality | Clinic/center - Student Health |
Location | 401 N Gardiner Ave, Rockford, Illinois |
Authorized Official Name and Position | Susan Fraser Simmerman (CERTIFIED SCHOOL NURSE) |
Authorized Official Contact | 8153983976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rockford School District 401 N Gardiner Ave Rockford IL 61107-4338 Ph: (815) 398-3976 | Rockford School District 401 N Gardiner Ave Rockford IL 61107-4338 Ph: (815) 398-3976 |
NPI Number | 1033478383 |
---|---|
Provider Enumeration Date | 05/07/2012 |
Last Update Date | 05/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033478383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 041.143917 (Illinois) | Primary |
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