Provider Demographics
NPI:1952570509
Name:CARY C C SCHOOL DISTRICT 26
Entity Type:Organization
Organization Name:CARY C C SCHOOL DISTRICT 26
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-639-7788
Mailing Address - Street 1:2115 CRYSTAL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1426
Mailing Address - Country:US
Mailing Address - Phone:847-639-7788
Mailing Address - Fax:847-516-9705
Practice Address - Street 1:2115 CRYSTAL LAKE RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-1426
Practice Address - Country:US
Practice Address - Phone:847-639-7788
Practice Address - Fax:847-516-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid