Glen Ellyn C C School Dist 89

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GLEN ELLYN C C SCHOOL DIST 89

Practice address

789 Sheehan Ave
Glen Ellyn, IL 60137

Phone

(630) 942-5600

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Georgia Peceniak

Title

Director

Phone

(630) 942-5600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jacqueline Barreto, OTR/L

  • Occupational Therapist
  • Glen Ellyn, IL
  • NPI 1548958325
  NPD (past)
• Jacquelyn Cameli, PT, DPT

  • Physical Therapist
  • Glen Ellyn, IL
  • NPI 1235989229
  NPD (past)
• Jane Ruge, PT, DPT, PCS

  • Pediatric Physical Therapist
  • Bloomingdale, IL
  • NPI 1023874823
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1144498957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 SHEEHAN AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-942-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 SHEEHAN AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-942-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ELLYN C C SCHOOL DIST 89",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "PECENIAK",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-942-5600"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Gibbons, PT, DPT
• Jessica Lynn Gibbs, D.D.S.
• Thomas R Gibbs, DDS
• Allison Gile
• Gina Ruane Prof Corp
• Glen Ellyn Family Dental Care
• Glen Ellyn Family Eye Care Associates LTD
• Glen Ellyn Family Eye Care LLC
• Glen Ellyn Ophthalmology Associates, LTD.
• Glen Ellyn Orthodontic Associates, P.C.

• Local Education Agency (LEA) in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 Feb 14, 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.