Maine East School Based Health Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MAINE EAST SCHOOL BASED HEALTH CENTER

Practice address

2601 Dempster St
Park Ridge, IL 60068-1155

Phone

(847) 825-4058

Fax

(847) 825-4060

NPI assigned

Feb 6, 2007

Last updated

Jan 22, 2024By 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

Mrs. Mary Kalou

Title

Asst Superintendant

Phone

(847) 692-8025

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Maine Township HS Dist 2075 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Maine Township HS Dist 207

  • Local Education Agency (LEA)
  • Morton Grove, IL
  • NPI 1023296779
  NPD tax ID
• Maine Township HS Dist 207

  • Local Education Agency (LEA)
  • Park Ridge, IL
  • NPI 1104940402
  NPD tax ID
• Maine Township Special Education Program

  • Local Education Agency (LEA)
  • Niles, IL
  • NPI 1760608467
  NPD tax ID
• Maine West School Based Health Center

  • Student Health Clinic/Center
  • Des Plaines, IL
  • NPI 1750142204
  NPD tax ID

Locations

Practitioners 4

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.

• Julia Dixon, ED.S., NCSP

  • School Psychologist
  • Park Ridge, IL
  • NPI 1437797123
  NPD (past)
• Therese Hanigan, APN,CNP

  • Specialist
  • Park Ridge, IL
  • NPI 1942228978
  NPD (past)
• Anthony Hoang Nguyen, ATC

  • Athletic Trainer
  • Oak Brook, IL
  • NPI 1295490811
  NPD (past)
• Jennifer N Smith, ATC

  • Athletic Trainer
  • Romeoville, IL
  • NPI 1578530903
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1073652657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681155",
            "telephone_number": "847-825-4058",
            "fax_number": "847-825-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681155",
            "telephone_number": "847-825-4058",
            "fax_number": "847-825-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE EAST SCHOOL BASED HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "KALOU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ASST SUPERINTENDANT",
        "authorized_official_telephone_number": "847-692-8025",
        "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": []
}

• Daniel J Maigler, LCSW
• Main Street Counseling Solutions LLC
• Adrienne Waters Main, LCPC
• Maine Center
• Maine Center, Inc.
• Maine Township HS Dist 207
• Kelly Jayne Makowsky, MSN, APN, CPNP
• Abril Malagon
• Joyce Heather Malaney, PT, DPT, OCS
• Abdullah Malas, M.B.B.S., MD

• Student Health Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, 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 Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.