Provider Demographics
NPI:1205950573
Name:PARK RIDGE C C SCHOOL DIST 64
Entity type:Organization
Organization Name:PARK RIDGE C C SCHOOL DIST 64
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSIT. DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPORINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-318-8122
Mailing Address - Street 1:8182 GREENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714
Mailing Address - Country:US
Mailing Address - Phone:847-318-8122
Mailing Address - Fax:847-318-4351
Practice Address - Street 1:8182 GREENDALE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714
Practice Address - Country:US
Practice Address - Phone:847-318-8122
Practice Address - Fax:847-318-4351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)