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NPI Code Detail

MEDICARE: STERLING CU DIST 5

MEDICARE: STERLING CU DIST 5
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1578765038
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERLING CU DIST 5
Provider Business Mailing Address
First Line : 410 E LE FEVRE RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1391
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 E LE FEVRE RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1391
Country : US
Telephone Number : 815-622-0858
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DREW HOFFMAN
Credential :
Telephone Number : 815-622-0858
Provider Enumeration Date : 06/05/2007
Last Update Date : 08/22/2020

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Directions to “STERLING CU DIST 5 ” Practice Location

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