Provider Demographics
NPI:1306169719
Name:ADLAI E STEVENSON H S D 125
Entity type:Organization
Organization Name:ADLAI E STEVENSON H S D 125
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-415-4115
Mailing Address - Street 1:1 STEVENSON DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-2824
Mailing Address - Country:US
Mailing Address - Phone:847-415-4115
Mailing Address - Fax:
Practice Address - Street 1:1 STEVENSON DR
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-2824
Practice Address - Country:US
Practice Address - Phone:847-415-4115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)