Provider Demographics
NPI:1023142296
Name:VILLA PARK SCHOOL DISTRICT 45
Entity type:Organization
Organization Name:VILLA PARK SCHOOL DISTRICT 45
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-530-6200
Mailing Address - Street 1:255 W VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-1943
Mailing Address - Country:US
Mailing Address - Phone:630-530-6200
Mailing Address - Fax:630-530-1624
Practice Address - Street 1:255 W VERMONT ST
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:IL
Practice Address - Zip Code:60181-1943
Practice Address - Country:US
Practice Address - Phone:630-530-6200
Practice Address - Fax:630-530-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2022-07-21
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