Provider Demographics
NPI:1477728855
Name:WORTH TOWNSHIP SCHOOL TREASURER
Entity Type:Organization
Organization Name:WORTH TOWNSHIP SCHOOL TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DATA ENTRY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUKLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-444-0570
Mailing Address - Street 1:10720 S KENTON AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5375
Mailing Address - Country:US
Mailing Address - Phone:708-952-0620
Mailing Address - Fax:
Practice Address - Street 1:4625 W 107TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5865
Practice Address - Country:US
Practice Address - Phone:708-444-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EISENHOWER COOPERATIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL521663707001OtherPROVIDER NUMBER