Provider Demographics
NPI:1457576993
Name:COUNTY OF COOK SCHOOL DISTRICT 102
Entity Type:Organization
Organization Name:COUNTY OF COOK SCHOOL DISTRICT 102
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-482-2400
Mailing Address - Street 1:333 N PARK RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-1802
Mailing Address - Country:US
Mailing Address - Phone:708-482-2400
Mailing Address - Fax:708-482-2402
Practice Address - Street 1:333 N PARK RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-1802
Practice Address - Country:US
Practice Address - Phone:708-482-2400
Practice Address - Fax:708-482-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)