Provider Demographics
NPI:1174739320
Name:CONSOL HIGH SCHOOL DIST 230
Entity type:Organization
Organization Name:CONSOL HIGH SCHOOL DIST 230
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MECOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-745-5217
Mailing Address - Street 1:15100 S 94TH AVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-3291
Mailing Address - Country:US
Mailing Address - Phone:708-745-5217
Mailing Address - Fax:708-349-5759
Practice Address - Street 1:15100 S 94TH AVE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3291
Practice Address - Country:US
Practice Address - Phone:708-745-5217
Practice Address - Fax:708-349-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)