OrganizationActive
Shawnee C U School
NPI 1164696639 · Student Health Clinic/Center · Wolf Lake, IL
Provider details
- NPI number
- 1164696639
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Seals, Unit Secretary(618) 833-5709
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3365 State Hwy 3 N
3365 State Hwy 3 N
Wolf Lake, IL 62998-0128
Phone: (618) 833-5709
Fax: (618) 833-4171
Street-level locationGet directions
Mailing address
Po Box 128
Wolf Lake, IL 62998-0128
Other names (DBA / former)
- Other name
- Shawnee Cusd 84
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.