Provider Demographics
NPI:1407971278
Name:LOCKPORT TOWNSHIP HIGH SCHOOL DIST 205
Entity Type:Organization
Organization Name:LOCKPORT TOWNSHIP HIGH SCHOOL DIST 205
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GROHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-588-8140
Mailing Address - Street 1:1323 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3823
Mailing Address - Country:US
Mailing Address - Phone:815-588-8140
Mailing Address - Fax:
Practice Address - Street 1:1323 E 7TH ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3823
Practice Address - Country:US
Practice Address - Phone:815-588-8140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)