MEDICARE: WORTH SCHOOL DISTRICT 127

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	:	1720100621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORTH SCHOOL DISTRICT 127

Provider Business Mailing Address
First Line	:	6801 W 111TH ST
Second Line	:
City	:	WORTH
State	:	IL
Zip	:	60482-1822
Country	:	US
Telephone Number	:	708-671-3909
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 W 111TH ST
Second Line	:
City	:	WORTH
State	:	IL
Zip	:	60482-1822
Country	:	US
Telephone Number	:	708-671-3909
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SINEAD CHAMBERS
Credential	:
Telephone Number	:	708-671-3909

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	03/15/2016

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