MEDICARE: CAMBRIDGE CUSD 227

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	:	1538361092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMBRIDGE CUSD 227

Provider Business Mailing Address
First Line	:	300 S WEST ST
Second Line	:
City	:	CAMBRIDGE
State	:	IL
Zip	:	61238-1430
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 S WEST ST
Second Line	:
City	:	CAMBRIDGE
State	:	IL
Zip	:	61238-1430
Country	:	US
Telephone Number	:	309-852-5696
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KATHLEEN GREIDER
Credential	:
Telephone Number	:	309-852-5696

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	08/22/2020

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