Organization
LINCOLNWOOD SCH DIST 74
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GAVIN (COORDINATOR)
(847) 965-9040
Entity
Organization
Contact information
Practice address
6950 E PRAIRIE RD, LINCOLNWOOD, IL 60712-2520
(847) 965-9040
Mailing address
6950 E PRAIRIE RD, LINCOLNWOOD, IL 60712-2520
(847) 965-9040
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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