Organization
RIVERSIDE-BROOKFIELD HS 208
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM MCGINNIS (BUSINESS MANAGER)
(708) 442-8255
Entity
Organization
Contact information
Practice address
160 RIDGEWOOD RD, RIVERSIDE, IL 60546-2408
(708) 442-7500
Mailing address
160 RIDGEWOOD RD, RIVERSIDE, IL 60546-2408
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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