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General NPI Number Information
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NPI Number | 1750540977
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Entity Type | Organization
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Legal Business Name | THORNTON TOWNSHIP HIGH SCHOOL DISTRICT 205
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 465 E 170TH ST
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-3400
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Country | US
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Telephone | 170-822-5400
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Fax | 708-225-4004
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Provider Business Mailing Address
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Address Line | 465 E 170TH ST
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-3400
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Country | US
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Telephone | 170-822-5400
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Fax | 708-225-4004
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Authorized Official
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Title or Position | DIR. OF BUSINESS OPERATIONS
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Name | MR. STEVEN L. GRESS
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Credential |
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Telephone | 708-225-4041
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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 | IL
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