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NPI Code Detail

MEDICARE: NORTH SHORE SCH DIST 112

MEDICARE: NORTH SHORE SCH DIST 112
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1891827721
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH SHORE SCH DIST 112
Provider Business Mailing Address
First Line : 1936 GREEN BAY RD
Second Line :
City : HIGHLAND PARK
State : IL
Zip : 60035-3112
Country : US
Telephone Number : 847-681-6700
Fax Number : 847-681-6710
Provider Business Practice Location Address
First Line : 1936 GREEN BAY RD
Second Line :
City : HIGHLAND PARK
State : IL
Zip : 60035-3112
Country : US
Telephone Number : 847-681-6700
Fax Number : 847-681-6710
Authorized Official
Title or Position : DIRECTOR
Name : BRAD VOEHRINGER
Credential :
Telephone Number : 847-681-6700
Provider Enumeration Date : 03/09/2007
Last Update Date : 05/16/2008

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Directions to “NORTH SHORE SCH DIST 112 ” Practice Location

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