Gardner S Wilmington Ths Dist 73

NPI Provider: 1518160704
Contact Name: SAND SCOTT
Position: DIRECTOR
Phone: (815) 942-5780

Gardner S Wilmington Ths Dist 73 Information:

Gardner S Wilmington Ths Dist 73 organization have npi 1518160704, taxonomy code is 251300000X with license number is in . This Business address located in 500 EAST MAIN ST, GARDNER, IL 60424 Illinois.

Practice Location
Address: 500 EAST MAIN ST, GARDNER, IL 60424
Phone: (815) 942-5780

Business Location
Address: 500 EAST MAIN ST, GARDNER, IL 60424

Taxonomy

Taxonomy Code: 251300000X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 6/6/2007

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