Mundelein Esd 75

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MUNDELEIN ESD 75

Practice address

76 Oak Creek PLZ
Mundelein, IL 60060-4493

Phone

(847) 949-2704

NPI assigned

Mar 9, 2007

Last updated

Mar 14, 2016By 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

Holly Colin

Title

Director

Phone

(847) 949-2704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1174654008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OAK CREEK PLZ",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604493",
            "telephone_number": "847-949-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 OAK CREEK PLZ",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604493",
            "telephone_number": "847-949-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDELEIN ESD 75",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "COLIN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-949-2704"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Mundelein, IL
• Providers in Mundelein, 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 14, 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.