Provider Demographics
NPI:1639357718
Name:FOX RIVER GROVE CONS SD 3
Entity type:Organization
Organization Name:FOX RIVER GROVE CONS SD 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:IRELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-462-2352
Mailing Address - Street 1:975 ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1820
Mailing Address - Country:US
Mailing Address - Phone:847-462-2352
Mailing Address - Fax:
Practice Address - Street 1:975 ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021-1820
Practice Address - Country:US
Practice Address - Phone:847-462-2352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)