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NPI 1225162506

NPI 1225162506 : MUNDELEIN CONSOL HS DIST 120 : MUNDELEIN, IL

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General NPI Number Information
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    NPI Number           |    1225162506
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUNDELEIN CONSOL HS DIST 120 
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Dates
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    Enumeration Date     |    03/16/2007
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    Last Update Date     |    03/15/2016
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Provider Practice Location Address
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    Address Line         |    1350 W HAWLEY STREET 
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    City                 |    MUNDELEIN
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    State                |    IL
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    Zip                  |    60060
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    Country              |    US
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    Telephone            |    847-949-2200
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    Fax                  |    847-949-5492
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Provider Business Mailing Address
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    Address Line         |    1350 W HAWLEY STREET 
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    City                 |    MUNDELEIN
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    State                |    IL
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    Zip                  |    60060
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    Country              |    US
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    Telephone            |    847-949-2200
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    Fax                  |    847-949-5492
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE ASSISTANT
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    Name                 |     BELINDA  GALLEGOS 
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    Credential           |    
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    Telephone            |    847-949-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    
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