Provider Demographics
NPI:1598934176
Name:WOODSTOCK SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WOODSTOCK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRZESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-338-8200
Mailing Address - Street 1:224 W JUDD ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-3199
Mailing Address - Country:US
Mailing Address - Phone:815-338-8200
Mailing Address - Fax:815-338-2005
Practice Address - Street 1:224 W JUDD ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-3199
Practice Address - Country:US
Practice Address - Phone:815-338-8200
Practice Address - Fax:815-338-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2513300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001OtherLEA