St Joseph Ccsd #169
St Joseph Ccsd #169 is a Student in an Organized Health Care Education/Training Program in Saint Joseph, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
404 S 5th StSaint Joseph, IL 61873-9073
Phone: (217) 469-2291
Fax: (217) 469-8906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 001 (IL) |
|---|
Record details
| NPI number | 1326217100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Pence — Superintendent · (217) 469-2291 |
| NPI enumerated | February 26, 2008 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 404 S 5th St, Saint Joseph, IL 61873-9073 |