NPIMap

Organization Active NPI

Evanston Township High School Health Center

  • Student Health Clinic/Center
  • Evanston, IL
National Provider Identifier
1073659280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
EVANSTON TOWNSHIP HIGH SCHOOL HEALTH CENTER
Practice address
1600 Dodge Ave
Room H-101
Evanston, IL 60201-3449
Phone
(847) 424-7265
Fax
(847) 492-5809
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathryn Swartwout, APNNPI 1619178324
Title
Site Manager
Phone
(847) 424-7265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1600 Dodge Ave
Room H-101
Evanston, IL 60201-3449

Mailing address

1600 Dodge Ave
Room H-101
Evanston, IL 60201-3449
Phone (847) 424-7265

Other identifiers 1

IdentifierTypeStateIssuer
366004393002MedicaidIL

National Provider Directory

National Provider Directory

Locations

1600 Dodge Ave
Rm H101
Evanston, IL 60201
Phone (847) 424-7265

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073659280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DODGE AVE",
            "address_2": "ROOM H-101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013449",
            "telephone_number": "847-424-7265",
            "fax_number": "847-492-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DODGE AVE",
            "address_2": "ROOM H-101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013449",
            "telephone_number": "847-424-7265",
            "fax_number": "847-492-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON TOWNSHIP HIGH SCHOOL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWARTWOUT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SITE MANAGER",
        "authorized_official_telephone_number": "847-424-7265",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366004393002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.