Provider Demographics
NPI:1679774632
Name:COMMUNITY UNIT SCHOOL DISTRICT NO 196
Entity Type:Organization
Organization Name:COMMUNITY UNIT SCHOOL DISTRICT NO 196
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-286-3812
Mailing Address - Street 1:600 LOUISA AVE
Mailing Address - Street 2:
Mailing Address - City:DUPO
Mailing Address - State:IL
Mailing Address - Zip Code:62239-1469
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 LOUISA AVE
Practice Address - Street 2:
Practice Address - City:DUPO
Practice Address - State:IL
Practice Address - Zip Code:62239-1469
Practice Address - Country:US
Practice Address - Phone:618-286-3812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)