Fremont School District 79

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

FREMONT SCHOOL DISTRICT 79

Practice address

28855 N Fremont Center Rd
Mundelein, IL 60060-9451

Phone

(847) 566-0169

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By 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

Maureen Tedor

Title

Director

Phone

(847) 566-0169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1184992844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28855 N FREMONT CENTER RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609451",
            "telephone_number": "847-566-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28855 N FREMONT CENTER RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609451",
            "telephone_number": "847-566-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT SCHOOL DISTRICT 79",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "TEDOR",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-566-0169"
    },
    "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 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 Dec 9, 2011; 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.