Provider Demographics
NPI:1881917466
Name:MOKENA SCHOOL DISTRICT 159
Entity type:Organization
Organization Name:MOKENA SCHOOL DISTRICT 159
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SECRETARY
Authorized Official - Prefix:MISS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-342-4950
Mailing Address - Street 1:11244 WILLOW CREST LN
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-1334
Mailing Address - Country:US
Mailing Address - Phone:708-342-4950
Mailing Address - Fax:708-479-3143
Practice Address - Street 1:11244 WILLOW CREST LN
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-1334
Practice Address - Country:US
Practice Address - Phone:708-342-4950
Practice Address - Fax:708-479-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)