Provider Demographics
NPI:1689907818
Name:NORTHBROOK ELE SCH DIS 28
Entity Type:Organization
Organization Name:NORTHBROOK ELE SCH DIS 28
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANUSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-504-3409
Mailing Address - Street 1:1475 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5418
Mailing Address - Country:US
Mailing Address - Phone:847-504-3406
Mailing Address - Fax:
Practice Address - Street 1:1475 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5418
Practice Address - Country:US
Practice Address - Phone:847-504-3409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)