Provider Demographics
NPI:1205128253
Name:APTAKISIC TRIPP CCSD NO 102
Entity type:Organization
Organization Name:APTAKISIC TRIPP CCSD NO 102
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZUICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-353-5676
Mailing Address - Street 1:1231 WEILAND RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-7040
Mailing Address - Country:US
Mailing Address - Phone:847-353-5676
Mailing Address - Fax:
Practice Address - Street 1:1231 WEILAND RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-7040
Practice Address - Country:US
Practice Address - Phone:847-353-5676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)