| NPI | 1033478383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FRASER SIMMERMAN Certified School Nurse 815-398-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: IL 041.143917) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |