Provider Demographics
NPI:1649301763
Name:FENTON C H S DIST 100
Entity type:Organization
Organization Name:FENTON C H S DIST 100
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-894-0490
Mailing Address - Street 1:1000 W GREEN ST
Mailing Address - Street 2:
Mailing Address - City:BENSENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60106-2008
Mailing Address - Country:US
Mailing Address - Phone:630-894-0490
Mailing Address - Fax:630-894-5960
Practice Address - Street 1:1000 W GREEN ST
Practice Address - Street 2:
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-2008
Practice Address - Country:US
Practice Address - Phone:630-894-0490
Practice Address - Fax:630-894-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)