Pontiac TWP HS Dist 90

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PONTIAC TWP HS DIST 90

Practice address

1100 E Indiana Ave
Pontiac, IL 61764-1204

Phone

(815) 844-6113

Fax

(815) 844-6116

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Angela Thomas

Title

Coordinator

Phone

(815) 844-6113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1104941186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E INDIANA AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641204",
            "telephone_number": "815-844-6113",
            "fax_number": "815-844-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E INDIANA AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641204",
            "telephone_number": "815-844-6113",
            "fax_number": "815-844-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTIAC TWP HS DIST 90",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "815-844-6113"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Pontiac, IL
• Providers in Pontiac, 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 Mar 15, 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.