Organization Name: | KENDALL COUNTY HEALTH DEPARTMENT |
NPI Number: | 1104261494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM THOMAS (OPERATIONS ADMINISTRATOR) |
Mailing Address: | 811 W John St Yorkville |
State: | IL US |
Postal Code: | 605609249 |
Phone Number: | 6305539100 |
Fax Number: | 6305530167 |
NPI Enumeration Date: | 05/01/2013 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 041151527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |