Provider Demographics
NPI:1093860249
Name:YORKVILLE SCHOOL DISTRICT #115
Entity Type:Organization
Organization Name:YORKVILLE SCHOOL DISTRICT #115
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-553-4382
Mailing Address - Street 1:602 CENTER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1499
Mailing Address - Country:US
Mailing Address - Phone:630-553-4382
Mailing Address - Fax:630-553-4398
Practice Address - Street 1:602 CENTER PKWY STE A
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1499
Practice Address - Country:US
Practice Address - Phone:630-553-4382
Practice Address - Fax:630-553-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid