Provider Demographics
NPI:1104142322
Name:COMMUNITY CONSOLIDATED SCHOOL DISTRICT 181
Entity type:Organization
Organization Name:COMMUNITY CONSOLIDATED SCHOOL DISTRICT 181
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PPS ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KAZEE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ADMIN LICENSE
Authorized Official - Phone:630-887-1070
Mailing Address - Street 1:1010 EXECUTIVE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-6135
Mailing Address - Country:US
Mailing Address - Phone:630-887-1070
Mailing Address - Fax:630-887-1079
Practice Address - Street 1:1010 EXECUTIVE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-6135
Practice Address - Country:US
Practice Address - Phone:630-887-1070
Practice Address - Fax:630-887-1079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19022181004251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)