MEDICARE: EFFINGHAM COMMUNITY UNIT SCHOOL DIST 40

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	:	1679684674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFFINGHAM COMMUNITY UNIT SCHOOL DIST 40

Provider Business Mailing Address
First Line	:	2803 S BANKER ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-2978
Country	:	US
Telephone Number	:	217-540-1500
Fax Number	:	217-540-1510

Provider Business Practice Location Address
First Line	:	2803 S BANKER ST
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-2978
Country	:	US
Telephone Number	:	217-540-1500
Fax Number	:	217-540-1510

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. DANIEL CLASBY
Credential	:
Telephone Number	:	217-540-1500

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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Directions to “EFFINGHAM COMMUNITY UNIT SCHOOL DIST 40 ” Practice Location

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