Provider Demographics
NPI:1295053676
Name:RIVER FOREST PUBLIC SCHOOL DISTRICT 90
Entity type:Organization
Organization Name:RIVER FOREST PUBLIC SCHOOL DISTRICT 90
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:COZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-771-8282
Mailing Address - Street 1:7776 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1735
Mailing Address - Country:US
Mailing Address - Phone:708-771-8282
Mailing Address - Fax:708-771-8291
Practice Address - Street 1:7776 LAKE ST
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1735
Practice Address - Country:US
Practice Address - Phone:708-771-8282
Practice Address - Fax:708-771-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)