Provider Demographics
NPI:1407971468
Name:REAVIS HIGH SCHOOL 220
Entity Type:Organization
Organization Name:REAVIS HIGH SCHOOL 220
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-599-7200
Mailing Address - Street 1:6034 W 77TH ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-3112
Mailing Address - Country:US
Mailing Address - Phone:708-599-7200
Mailing Address - Fax:708-599-1544
Practice Address - Street 1:6034 W 77TH ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:IL
Practice Address - Zip Code:60459-3112
Practice Address - Country:US
Practice Address - Phone:708-599-7200
Practice Address - Fax:708-599-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)