Evanston CC School Dist 65

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

EVANSTON CC SCHOOL DIST 65

Practice address

1500 McDaniel Ave
Evanston, IL 60201-3976

Phone

(847) 859-8090

Fax

(847) 859-8713

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Margie Lenoir-Davis

Title

Inter.Dir. of Office of Spec. Serv.

Phone

(847) 859-8090

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.

• Michelle Nadine Brand, MA, CCC, SLP

  • Speech-Language Pathologist
  • Evanston, IL
  • NPI 1801308432
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1063630010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCDANIEL AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013976",
            "telephone_number": "847-859-8090",
            "fax_number": "847-859-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCDANIEL AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013976",
            "telephone_number": "847-859-8090",
            "fax_number": "847-859-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON CC SCHOOL DIST 65",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LENOIR-DAVIS",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "INTER.DIR. OF OFFICE OF SPEC. SERV.",
        "authorized_official_telephone_number": "847-859-8090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Estes
• Randi C Ettner, PHD
• Edryan Eugenio, PT
• Katee Evans
• Evanston Carenow Homecare, LLC
• Evanston Counseling, PLLC
• Evanston Dental Associates LTD.
• Evanston Dental PLLC
• Evanston Eye Wellness Inc.
• Evanston Family Chiropractic and Wellness Center, S.C.

• Student Health Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.