Organization
NORTHWESTERN ILLINOIS ASSOICATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN KILPATRICK (EXECUTIVE DIRECTOR)
(815) 895-9227
Entity
Organization
Contact information
Practice address
245 W EXCHANGE ST, SUITE 2, SYCAMORE, IL 60178-1495
(815) 895-9227
Mailing address
245 W EXCHANGE ST, SUITE 2, SYCAMORE, IL 60178
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363072256001
—
IL
Enumeration date
05/17/2006
Last updated
08/22/2020
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