Provider Demographics
NPI:1891827721
Name:NORTH SHORE SCH DIST 112
Entity Type:Organization
Organization Name:NORTH SHORE SCH DIST 112
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VOEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-681-6700
Mailing Address - Street 1:1936 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3112
Mailing Address - Country:US
Mailing Address - Phone:847-681-6700
Mailing Address - Fax:847-681-6710
Practice Address - Street 1:1936 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3112
Practice Address - Country:US
Practice Address - Phone:847-681-6700
Practice Address - Fax:847-681-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)