Joliet TWP HS Fist 204

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

JOLIET TWP HS FIST 204

Practice address

201 E Jefferson St
Joliet, IL 60432-2841

Phone

(815) 727-6986

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Iman-Ellis Bowman

Title

Director

Phone

(815) 727-6986

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1043348642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322841",
            "telephone_number": "815-727-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322841",
            "telephone_number": "815-727-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET TWP HS FIST 204",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "IMAN-ELLIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-727-6986"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Joliet, IL
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.