| Duquoin Comm Unit Dist 300 | |
|
845 East Jackson Street Duquoin IL 62832 | |
| (618) 542-3856 | |
| (618) 542-6614 |
| Full Name | Duquoin Comm Unit Dist 300 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 845 East Jackson Street, Duquoin, Illinois |
| Authorized Official Name and Position | Gary Kelly (DISTRICT SUPERINTENDENT) |
| Authorized Official Contact | 6185423856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duquoin Comm Unit Dist 300 845 East Jackson Street Duquoin IL 62832 Ph: (618) 542-3856 | Duquoin Comm Unit Dist 300 845 East Jackson Street Duquoin IL 62832 Ph: (618) 542-3856 |
| NPI Number | 1295954600 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295954600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |