=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124134721
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AUBURN COMM UNIT SCHOOL DIST 10
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 606 W NORTH ST
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62615-1144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-438-6164
-----------------------------------------------------
Fax | 217-438-6483
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 606 W NORTH ST
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62615-1144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-438-6164
-----------------------------------------------------
Fax | 217-438-6483
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | KATHRYN GARRETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 217-438-6164
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------