Provider Demographics
NPI:1376672535
Name:TOWNSHIP HIGH SCHOOL DISTRICT 211
Entity Type:Organization
Organization Name:TOWNSHIP HIGH SCHOOL DISTRICT 211
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KONTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-755-6600
Mailing Address - Street 1:1750 S ROSELLE RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7336
Mailing Address - Country:US
Mailing Address - Phone:847-755-6600
Mailing Address - Fax:
Practice Address - Street 1:1750 S ROSELLE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-7336
Practice Address - Country:US
Practice Address - Phone:847-755-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid