Provider Demographics
NPI:1467620666
Name:FLANAGAN UNIT 4
Entity Type:Organization
Organization Name:FLANAGAN UNIT 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:TRACHSEL
Authorized Official - Suffix:
Authorized Official - Credentials:PRINCIPAL
Authorized Official - Phone:815-796-2261
Mailing Address - Street 1:202 E FALCON HWY
Mailing Address - Street 2:
Mailing Address - City:FLANAGAN
Mailing Address - State:IL
Mailing Address - Zip Code:61740-7503
Mailing Address - Country:US
Mailing Address - Phone:915-796-2261
Mailing Address - Fax:815-796-2856
Practice Address - Street 1:202 E FALCON HWY
Practice Address - Street 2:
Practice Address - City:FLANAGAN
Practice Address - State:IL
Practice Address - Zip Code:61740-7503
Practice Address - Country:US
Practice Address - Phone:915-796-2261
Practice Address - Fax:815-796-2856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)