Provider Demographics
NPI:1225167810
Name:COOPERATIVE ASSOC FOR SPEC ED
Entity Type:Organization
Organization Name:COOPERATIVE ASSOC FOR SPEC ED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PECENIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-942-5600
Mailing Address - Street 1:22W600 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-6901
Mailing Address - Country:US
Mailing Address - Phone:630-942-5600
Mailing Address - Fax:630-942-5601
Practice Address - Street 1:22W600 BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-6901
Practice Address - Country:US
Practice Address - Phone:630-942-5600
Practice Address - Fax:630-942-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)