| Kankakee School District 111 School-based Health Center | |
|
2250 E Crestwood St Kankakee IL 60901-2803 | |
| (815) 933-0772 | |
| (815) 933-6730 |
| Full Name | Kankakee School District 111 School-based Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2250 E Crestwood St, Kankakee, Illinois |
| Authorized Official Name and Position | Brian Ali (SUPERINTENDENT) |
| Authorized Official Contact | 8159330772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kankakee School District 111 School-based Health Center 2250 E Crestwood St Kankakee IL 60901-2803 Ph: (815) 933-0772 | Kankakee School District 111 School-based Health Center 2250 E Crestwood St Kankakee IL 60901-2803 Ph: (815) 933-0772 |
| NPI Number | 1235256520 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235256520 | NPI | - | NPPES |
| 336004784004 | Medicaid | IL |
Raffi Leblebijian Dr Raffi Leblebijian & Assoc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Wall St, Suite 203, Kankakee, IL 60901 Phone: 815-933-4121 Fax: 815-933-6744 | |
Syreeta C Jones Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 E Court St, Kankakee, IL 60901 Phone: 815-325-2613 | |
Al Weatherford Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Court St, Suite 504, Kankakee, IL 60901 Phone: 815-932-3613 | |
John T Peterson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Court St, Suite 504, Kankakee, IL 60901 Phone: 815-932-3613 | |
Donald E Krause Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Court St, Suite 102, Kankakee, IL 60901 Phone: 815-937-3521 Fax: 815-802-1264 | |
William Mitsos Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1291 S. 7th Ave, Kankakee, IL 60901 Phone: 815-932-0022 Fax: 815-932-1202 |