Proviso Township High School District 209
NPI #1124270103 in Forest Park, Illinois
Provider Information
- NPI Number
- 1124270103
- Entity Type
- Organization
- Organization Name
- Proviso Township High School District 209
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Oct 21, 2008
- Last Updated
- Oct 21, 2008
Practice Location
- Address
- 8601 ROOSEVELT RD
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2532
- Phone
- (708) 338-5950
Authorized Official
- Name
- DR. NIKITA JOHNSON
- Title
- ASST SUP FOR FINANCE & OPERATIONS
- Phone
- (708) 338-5929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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