Provider Demographics
NPI:1164546438
Name:AERO SPECIAL EDUCATION COOP
Entity Type:Organization
Organization Name:AERO SPECIAL EDUCATION COOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-496-3330
Mailing Address - Street 1:7600 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-1200
Mailing Address - Country:US
Mailing Address - Phone:708-496-3330
Mailing Address - Fax:708-496-3920
Practice Address - Street 1:7600 MASON AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:IL
Practice Address - Zip Code:60459-1200
Practice Address - Country:US
Practice Address - Phone:708-496-3330
Practice Address - Fax:708-496-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health