Provider Demographics
NPI:1962680702
Name:KANKAKEE AREA SPECIAL EDUCATION COOP
Entity Type:Organization
Organization Name:KANKAKEE AREA SPECIAL EDUCATION COOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-939-3651
Mailing Address - Street 1:1 STUART DR
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-8947
Mailing Address - Country:US
Mailing Address - Phone:815-939-3651
Mailing Address - Fax:
Practice Address - Street 1:1 STUART DR
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-8947
Practice Address - Country:US
Practice Address - Phone:815-939-3651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)