Provider Demographics
NPI:1427164243
Name:WINDSOR COMM. UNIT SCHOOL DIST 1
Entity type:Organization
Organization Name:WINDSOR COMM. UNIT SCHOOL DIST 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-459-2636
Mailing Address - Street 1:1424 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:IL
Mailing Address - Zip Code:61957-1010
Mailing Address - Country:US
Mailing Address - Phone:217-459-2636
Mailing Address - Fax:217-459-2661
Practice Address - Street 1:1424 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:IL
Practice Address - Zip Code:61957-1010
Practice Address - Country:US
Practice Address - Phone:217-459-2636
Practice Address - Fax:217-459-2661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid