Organization
LAKE BLUFF SCHOOL DISTRICT 65
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID VICK (SUPERINTENDENT OF SCHOOLS)
(847) 234-9400
Entity
Organization
Contact information
Practice address
121 E SHERIDAN PL, LAKE BLUFF, IL 60044-2632
(847) 234-9400
Mailing address
121 E SHERIDAN PL, LAKE BLUFF, IL 60044-2632
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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