NPI: 1700907425 · EVERGREEN PARK, IL 60805 · Student Health Clinic/Center · NPI assigned 04/02/2007
| Authorized Official | FAHLEN, NORAH (DIRECTOR) |
| NPI Enumeration Date | 04/02/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41 | $962.93 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96152 | 41 | 24 | $962.93 |