Provider Demographics
NPI:1003961608
Name:SCHOOL HEALTH LINK INC
Entity Type:Organization
Organization Name:SCHOOL HEALTH LINK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:O'DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:309-792-6360
Mailing Address - Street 1:1314 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVIS
Mailing Address - State:IL
Mailing Address - Zip Code:61282-1892
Mailing Address - Country:US
Mailing Address - Phone:309-792-6360
Mailing Address - Fax:309-792-4192
Practice Address - Street 1:1314 10TH ST
Practice Address - Street 2:
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-1892
Practice Address - Country:US
Practice Address - Phone:309-792-6360
Practice Address - Fax:309-792-4192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========002Medicaid
IL=========002Medicaid