Organization
COUNTRY CLUB HILLS SCHOOL DISTRICT 160
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KORUNA (MEDICAID ADMIN)
(708) 957-6200
Entity
Organization
Contact information
Practice address
4411 185TH ST, COUNTRY CLUB HILLS, IL 60478-4501
(708) 957-6200
Mailing address
4411 185TH ST, COUNTRY CLUB HILLS, IL 60478-4501
(708) 957-6200
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
04/20/2008
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