Organization
REAVIS HIGH SCHOOL 220
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND NEGRETE (BUSINESS MANAGER)
(708) 599-7200
Entity
Organization
Contact information
Practice address
6034 W 77TH ST, BURBANK, IL 60459-3112
(708) 599-7200
(708) 599-1544
Mailing address
6034 W 77TH ST, BURBANK, IL 60459-3112
(708) 599-7200
(708) 599-1544
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
06/18/2008
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