Organization
GOLF ELEMENTARY DIST 67
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GAVIN (COORDINATOR)
(847) 965-9040
Entity
Organization
Contact information
Practice address
9401 WAUKEGAN RD, MORTON GROVE, IL 60053-1353
(847) 965-9040
Mailing address
9401 WAUKEGAN RD, MORTON GROVE, IL 60053-1353
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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