Provider Demographics
NPI:1386860674
Name:RIDGELAND SCH DIST 122
Entity Type:Organization
Organization Name:RIDGELAND SCH DIST 122
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-599-5550
Mailing Address - Street 1:6500 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2167
Mailing Address - Country:US
Mailing Address - Phone:708-599-5550
Mailing Address - Fax:708-599-5626
Practice Address - Street 1:6500 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2167
Practice Address - Country:US
Practice Address - Phone:708-599-5550
Practice Address - Fax:708-599-5626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)