Healthcare Provider Details

I. General information

NPI: 1801910088
Provider Name (Legal Business Name): WEST CHICAGO EL SCHOOL DIST 33
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E FOREST AVE
WEST CHICAGO IL
60185-3528
US

IV. Provider business mailing address

312 E FOREST AVE
WEST CHICAGO IL
60185-3528
US

V. Phone/Fax

Practice location:
  • Phone: 630-293-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ED LEMAN
Title or Position: SUPERINTENDENT
Credential:
Phone: 630-293-6000