Provider Demographics
NPI:1811024573
Name:OSWEGO COMMUNITY UNIT SCHOOL DISTRICT 308
Entity Type:Organization
Organization Name:OSWEGO COMMUNITY UNIT SCHOOL DISTRICT 308
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:MONN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-636-3090
Mailing Address - Street 1:4175 STATE ROUTE 71
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8340
Mailing Address - Country:US
Mailing Address - Phone:630-636-3080
Mailing Address - Fax:630-554-2168
Practice Address - Street 1:4175 STATE ROUTE 71
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8340
Practice Address - Country:US
Practice Address - Phone:630-636-3080
Practice Address - Fax:630-554-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid