Organization
BROOKWOOD SCHOOL DISTRICT 167
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF CHARLESTON (BUSINESS MANAGER)
(708) 758-5190
Entity
Organization
Contact information
Practice address
201 E GLENWOOD DYER RD, GLENWOOD, IL 60425-1845
(708) 758-5190
Mailing address
201 E GLENWOOD DYER RD, GLENWOOD, IL 60425-1845
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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