Provider Demographics
NPI:1952425258
Name:ANTIOCH CC SCHOOL DISTRICT 34
Entity Type:Organization
Organization Name:ANTIOCH CC SCHOOL DISTRICT 34
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-838-8421
Mailing Address - Street 1:850 HIGHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002-1141
Mailing Address - Country:US
Mailing Address - Phone:847-838-8421
Mailing Address - Fax:847-838-8404
Practice Address - Street 1:850 HIGHVIEW DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-1141
Practice Address - Country:US
Practice Address - Phone:847-838-8421
Practice Address - Fax:847-838-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)