Provider Demographics
NPI:1982733176
Name:COMMUNITY HIGH SCHOOL DIST 15
Entity type:Organization
Organization Name:COMMUNITY HIGH SCHOOL DIST 15
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-455-8500
Mailing Address - Street 1:1 VIRGINIA RD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7901
Mailing Address - Country:US
Mailing Address - Phone:815-455-8500
Mailing Address - Fax:815-455-8514
Practice Address - Street 1:1 VIRGINIA RD
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7901
Practice Address - Country:US
Practice Address - Phone:815-455-8500
Practice Address - Fax:815-455-8514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)