Provider Demographics
NPI:1427193648
Name:PRAIRIE HILLS ELEMENTARY SCHOOL DISTRICT 144
Entity Type:Organization
Organization Name:PRAIRIE HILLS ELEMENTARY SCHOOL DISTRICT 144
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:I.
Authorized Official - Middle Name:V
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:708-210-2888
Mailing Address - Street 1:3015 W 163RD ST
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-5626
Mailing Address - Country:US
Mailing Address - Phone:708-210-2888
Mailing Address - Fax:
Practice Address - Street 1:3015 W 163RD ST
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60428-5626
Practice Address - Country:US
Practice Address - Phone:708-210-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-07-07
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