Provider Demographics
NPI:1437328853
Name:CHANNAHON SCHOOL DISTRICT 17
Entity Type:Organization
Organization Name:CHANNAHON SCHOOL DISTRICT 17
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-521-2123
Mailing Address - Street 1:24920 S SAGE ST
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-8617
Mailing Address - Country:US
Mailing Address - Phone:815-467-4315
Mailing Address - Fax:
Practice Address - Street 1:24920 S SAGE ST
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-8617
Practice Address - Country:US
Practice Address - Phone:815-467-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)