Willow Springs SCH Dist 108

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

WILLOW SPRINGS SCH DIST 108

Practice address

8345 Archer Ave
Willow Springs, IL 60480-1402

Phone

(708) 839-6828

Fax

(708) 839-8399

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Karen Triezenberg

Title

Principal

Phone

(708) 839-6828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1194846501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 ARCHER AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801402",
            "telephone_number": "708-839-6828",
            "fax_number": "708-839-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 ARCHER AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801402",
            "telephone_number": "708-839-6828",
            "fax_number": "708-839-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS SCH DIST 108",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "TRIEZENBERG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "708-839-6828"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sulik, NP
• Kendell Ann Sullivan, CRNA
• Daniel Y. Tam, RPH
• The Zen Therapy Room LLC
• Village of Willow Springs
• Willow Therapeutic
• Willow Therapeutic, PLLC
• Stephen M Wright, MA, LCPC

• Student Health Clinic/Center in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.