Pleasantdale School District 107

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PLEASANTDALE SCHOOL DISTRICT 107

Practice address

7450 Wolf Rd
Burr Ridge, IL 60527-7714

Phone

(708) 784-2013

Fax

(708) 246-0161

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Fredisdorf

Title

Superintendent

Phone

(708) 784-8013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1194902429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 WOLF RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277714",
            "telephone_number": "708-784-2013",
            "fax_number": "708-246-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 WOLF RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277714",
            "telephone_number": "708-784-2013",
            "fax_number": "708-246-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTDALE SCHOOL DISTRICT 107",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FREDISDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "708-784-8013",
        "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": []
}

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• Local Education Agency (LEA) in Burr Ridge, IL
• Providers in Burr Ridge, 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 Jan 29, 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.