NPIMap

Organization Active NPI

Proviso Township High School District 209

  • Local Education Agency (LEA)
  • Forest Park, IL
National Provider Identifier
1124270103
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PROVISO TOWNSHIP HIGH SCHOOL DISTRICT 209
Practice address
8601 Roosevelt Rd
Forest Park, IL 60130-2532
Phone
(708) 338-5950
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Nikita Johnson
Title
Asst Sup for Finance & Operations
Phone
(708) 338-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

8601 Roosevelt Rd
Forest Park, IL 60130-2532

Mailing address

8601 Roosevelt Rd
Forest Park, IL 60130-2532
Phone (708) 338-5950

National Provider Directory

National Provider Directory
Tax ID family
Proviso Township High School District 2092 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8601 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 338-5950

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1124270103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302532",
            "telephone_number": "708-338-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302532",
            "telephone_number": "708-338-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISO TOWNSHIP HIGH SCHOOL DISTRICT 209",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "ASST SUP FOR FINANCE & OPERATIONS",
        "authorized_official_telephone_number": "708-338-5929",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.