Organization
BURNHAM SCHOOL DISTRICT 154.5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL VEGA (SUPERINTENDENT)
(708) 862-8636
Entity
Organization
Contact information
Practice address
13945 S GREEN BAY AVE, BURNHAM, IL 60633-1671
(708) 862-8636
Mailing address
13945 S GREEN BAY AVE, BURNHAM, IL 60633-1671
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
06/24/2008
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