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NPI Code Detail

MEDICARE: CHICAGO HEIGHTS SCHOOL DISTRICT 170

MEDICARE: CHICAGO HEIGHTS SCHOOL DISTRICT 170
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)IL

General Provider Information

NPI Number : 1134266521
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHICAGO HEIGHTS SCHOOL DISTRICT 170
Provider Business Mailing Address
First Line : 30 W 16TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3412
Country : US
Telephone Number : 708-756-4171
Fax Number :
Provider Business Practice Location Address
First Line : 30 W 16TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3412
Country : US
Telephone Number : 708-756-4171
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : TOM AMADIO
Credential :
Telephone Number : 708-756-4171
Provider Enumeration Date : 02/01/2007
Last Update Date : 08/22/2020

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Directions to “CHICAGO HEIGHTS SCHOOL DISTRICT 170 ” Practice Location

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