Organization
PROVISON TWP HS DIST 209
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA SCHMITT (COORDINATOR)
(708) 450-2157
Entity
Organization
Contact information
Practice address
807 S 1ST AVE, MAYWOOD, IL 60153-2307
(708) 450-2157
(708) 450-1116
Mailing address
807 S 1ST AVE, MAYWOOD, IL 60153-2307
(708) 450-2157
(708) 450-1116
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
03/14/2016
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