Organization
SPEC EDUC DIST LAKE CO SEDOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY PUGH (COORDINATOR)
(847) 548-8470
Entity
Organization
Contact information
Practice address
18160 W GAGES LAKE RD, GAGES LAKE, IL 60030-1819
(847) 548-8470
(847) 548-8472
Mailing address
18160 W GAGES LAKE RD, GAGES LAKE, IL 60030-1819
(847) 548-8470
(847) 548-8472
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
05/16/2008
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