MEDICARE: VERMILION ASSOC OF SPEC EDUC

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1073621736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERMILION ASSOC OF SPEC EDUC

Provider Business Mailing Address
First Line	:	15009 CATLIN TILTON RD STE B
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61834-5176
Country	:	US
Telephone Number	:	217-443-8273
Fax Number	:	217-443-0217

Provider Business Practice Location Address
First Line	:	15009 CATLIN TILTON RD STE B
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61834-5176
Country	:	US
Telephone Number	:	217-443-8273
Fax Number	:	217-443-0217

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL EDUCATION
Name	:	MRS. BARBARA ANN MOORE
Credential	:	MA
Telephone Number	:	217-443-8273

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	02/28/2011

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Directions to “VERMILION ASSOC OF SPEC EDUC ” Practice Location

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