Provider Demographics
NPI:1992834592
Name:WILMINGTON C U SCH DIST 209U
Entity Type:Organization
Organization Name:WILMINGTON C U SCH DIST 209U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANDLESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-926-1735
Mailing Address - Street 1:209U WILDCAT COURT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60481
Mailing Address - Country:US
Mailing Address - Phone:815-926-1735
Mailing Address - Fax:
Practice Address - Street 1:209U WILDCAT COURT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:IL
Practice Address - Zip Code:60481
Practice Address - Country:US
Practice Address - Phone:815-926-1735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)