Provider Demographics
NPI:1386070589
Name:ACE TECH CHARTER HS
Entity type:Organization
Organization Name:ACE TECH CHARTER HS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DATA AND TESTING COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMISANO
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:773-548-8705
Mailing Address - Street 1:5410 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-6342
Mailing Address - Country:US
Mailing Address - Phone:773-548-8705
Mailing Address - Fax:
Practice Address - Street 1:5410 S STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-6342
Practice Address - Country:US
Practice Address - Phone:773-548-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)