MEDICARE: FRANKLIN PARK SCHOOL DISTRICT 84

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)		IL

General Provider Information

NPI Number	:	1225154685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN PARK SCHOOL DISTRICT 84

Provider Business Mailing Address
First Line	:	2915 MAPLE ST
Second Line	:
City	:	FRANKLIN PARK
State	:	IL
Zip	:	60131-3031
Country	:	US
Telephone Number	:	847-455-4230
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 MAPLE ST
Second Line	:
City	:	FRANKLIN PARK
State	:	IL
Zip	:	60131-3031
Country	:	US
Telephone Number	:	847-455-4230
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DAVID R. NEMEC
Credential	:	ED.S
Telephone Number	:	847-455-4230

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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