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NPI Code Detail

MEDICARE: LINCOLN WAY AREA SPEC ED 843

MEDICARE: LINCOLN WAY AREA SPEC ED 843
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 : 1063541688
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINCOLN WAY AREA SPEC ED 843
Provider Business Mailing Address
First Line : 601 WILLOW ST
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-1140
Country : US
Telephone Number : 815-806-4600
Fax Number : 815-806-4601
Provider Business Practice Location Address
First Line : 601 WILLOW ST
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-1140
Country : US
Telephone Number : 815-806-4600
Fax Number : 815-806-4601
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SARAH REXROAD
Credential :
Telephone Number : 815-806-4600
Provider Enumeration Date : 03/02/2007
Last Update Date : 12/01/2017

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Directions to “LINCOLN WAY AREA SPEC ED 843 ” Practice Location

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