Provider Demographics
NPI:1023281730
Name:LAKE FOREST COMM H S DIST 115
Entity type:Organization
Organization Name:LAKE FOREST COMM H S DIST 115
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-234-3600
Mailing Address - Street 1:1285 N MCKINLEY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1371
Mailing Address - Country:US
Mailing Address - Phone:847-234-3600
Mailing Address - Fax:
Practice Address - Street 1:1285 N MCKINLEY RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1371
Practice Address - Country:US
Practice Address - Phone:847-234-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)