Provider Demographics
NPI:1972915718
Name:IROQUOIS COUNTY PUBLIC HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:IROQUOIS COUNTY PUBLIC HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHIPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:815-432-2483
Mailing Address - Street 1:1001 E GRANT ST
Mailing Address - Street 2:
Mailing Address - City:WATSEKA
Mailing Address - State:IL
Mailing Address - Zip Code:60970-1832
Mailing Address - Country:US
Mailing Address - Phone:815-432-2483
Mailing Address - Fax:815-432-2198
Practice Address - Street 1:1001 E GRANT ST
Practice Address - Street 2:
Practice Address - City:WATSEKA
Practice Address - State:IL
Practice Address - Zip Code:60970-1832
Practice Address - Country:US
Practice Address - Phone:815-432-2483
Practice Address - Fax:815-432-2198
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IROQUOIS COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare