Provider Demographics
NPI:1215058276
Name:EAST MAINE SCHOOL DISTRICT 63
Entity type:Organization
Organization Name:EAST MAINE SCHOOL DISTRICT 63
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GWYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-299-1900
Mailing Address - Street 1:10150 DEE RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1512
Mailing Address - Country:US
Mailing Address - Phone:847-299-1900
Mailing Address - Fax:847-299-9963
Practice Address - Street 1:10150 DEE RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1512
Practice Address - Country:US
Practice Address - Phone:847-299-1900
Practice Address - Fax:847-299-9963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)