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Organization

CENTRAL COMMUNITY UNIT SCHOOL DIST #4

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA L EVANS (SUPERINTENDENT)
(815) 694-2231
Entity
Organization

Contact information

Practice address
203 NORTH THIRD STREET, ASHKUM, IL 60911
(815) 694-2231
(815) 698-2575
Mailing address
PO BOX 637, CLIFTON, IL 60927-0637
(815) 694-2231
(815) 698-2575

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
363589360001
IL DEPT OF HEALTHCARE & F
IL
Enumeration date
02/11/2008
Last updated
02/11/2008
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