Deer Park C C School Dist 82

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DEER PARK C C SCHOOL DIST 82

Practice address

2350 E 1025TH Rd
Ottawa, IL 61350-9253

Phone

(815) 433-6433

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marty Ricconi

Title

Director

Phone

(815) 433-6433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan May

  • Speech-Language Pathologist
  • La Salle, IL
  • NPI 1972018794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1033388012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E 1025TH RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E 1025TH RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509253",
            "telephone_number": "815-433-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK C C SCHOOL DIST 82",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "RICCONI",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-433-6433"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amar Lal Dave, M.D.
• Pahroul Dave, APN
• David Kushner, DO, PC (Aspire Wellness)
• Amy Davis
• Hunter Clark Davis, DDS
• Dixie Devry, OT
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Ottawa)
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Morris PD)
• Donald P. Mammano, D.C., S.C.
• Merrick Donenberg, M.D.

• Local Education Agency (LEA) in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.