Provider Demographics
NPI:1598927329
Name:NIPPERSINK SCHOOL DIST 2 - ADMIN
Entity Type:Organization
Organization Name:NIPPERSINK SCHOOL DIST 2 - ADMIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-678-4242
Mailing Address - Street 1:10006 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IL
Mailing Address - Zip Code:60071-9436
Mailing Address - Country:US
Mailing Address - Phone:815-678-4242
Mailing Address - Fax:815-678-2810
Practice Address - Street 1:10006 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IL
Practice Address - Zip Code:60071-9436
Practice Address - Country:US
Practice Address - Phone:815-678-4242
Practice Address - Fax:815-678-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency