Organization
GRASS LAKE SCHOOL DIST NO 36
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SHUPE (DIRECTOR)
(847) 395-1550
Entity
Organization
Contact information
Practice address
26177 W GRASS LAKE RD, ANTIOCH, IL 60002-9613
(847) 395-1550
Mailing address
26177 W GRASS LAKE RD, ANTIOCH, IL 60002-9613
(847) 395-1550
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/14/2016
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