Provider Demographics
NPI:1841327400
Name:NILES TWP DEPT OF SP ED
Entity type:Organization
Organization Name:NILES TWP DEPT OF SP ED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUPPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-965-9040
Mailing Address - Street 1:8701 MENARD AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3052
Mailing Address - Country:US
Mailing Address - Phone:847-965-9040
Mailing Address - Fax:847-965-0003
Practice Address - Street 1:8701 MENARD AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3052
Practice Address - Country:US
Practice Address - Phone:847-965-9040
Practice Address - Fax:847-965-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health