Provider Demographics
NPI:1952435802
Name:COMM CONS SCHOOL DISTRICT NO 15
Entity type:Organization
Organization Name:COMM CONS SCHOOL DISTRICT NO 15
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGIULIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-963-3146
Mailing Address - Street 1:580 N 1ST BANK DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-8110
Mailing Address - Country:US
Mailing Address - Phone:847-963-3146
Mailing Address - Fax:847-693-3145
Practice Address - Street 1:580 N 1ST BANK DR
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8110
Practice Address - Country:US
Practice Address - Phone:847-963-3146
Practice Address - Fax:847-693-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health