Organization
LOSTANT COMM UNIT SCH DIST 425
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY RICCONI (DIRECTOR)
(815) 433-6433
Entity
Organization
Contact information
Practice address
315 WEST THIRD ST., LOSTANT, IL 61334
(815) 433-6433
Mailing address
315 WEST THIRD ST., LOSTANT, IL 61334
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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