Provider Demographics
NPI:1134244957
Name:ODELL GRADE SCHOOL DIST 435
Entity type:Organization
Organization Name:ODELL GRADE SCHOOL DIST 435
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-998-2272
Mailing Address - Street 1:203 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:ODELL
Mailing Address - State:IL
Mailing Address - Zip Code:60460-9602
Mailing Address - Country:US
Mailing Address - Phone:815-998-2272
Mailing Address - Fax:815-998-2619
Practice Address - Street 1:203 N EAST ST
Practice Address - Street 2:
Practice Address - City:ODELL
Practice Address - State:IL
Practice Address - Zip Code:60460-9602
Practice Address - Country:US
Practice Address - Phone:815-998-2272
Practice Address - Fax:815-998-2619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)