| Ludlow Ccsd 142 | |
|
245 South Orange Ludlow IL 60949 | |
| (217) 396-5261 | |
| Not Available |
| Full Name | Ludlow Ccsd 142 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 245 South Orange, Ludlow, Illinois |
| Authorized Official Name and Position | Jerry Zachary (SUPERINTENDENT) |
| Authorized Official Contact | 2173965261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ludlow Ccsd 142 Po Box 130 Ludlow IL 60949-0130 Ph: (217) 396-5261 | Ludlow Ccsd 142 245 South Orange Ludlow IL 60949 Ph: (217) 396-5261 |
| NPI Number | 1992907588 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992907588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |