Provider Demographics
NPI:1386845345
Name:PARK FOREST - CHICAGO HEIGHTS SCHOOL DISTRICT 163
Entity Type:Organization
Organization Name:PARK FOREST - CHICAGO HEIGHTS SCHOOL DISTRICT 163
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-668-9402
Mailing Address - Street 1:242 S ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:242 S ORCHARD DR
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2041
Practice Address - Country:US
Practice Address - Phone:708-668-9402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)