Organization Active NPI

Brookwood School District 167

  • Local Education Agency (LEA)
  • Glenwood, IL
National Provider Identifier
1194926154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BROOKWOOD SCHOOL DISTRICT 167
Practice address
201 E Glenwood Dyer Rd
Glenwood, IL 60425-1845
Phone
(708) 758-5190
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeff Charleston
Title
Business Manager
Phone
(708) 758-5190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

201 E Glenwood Dyer Rd
Glenwood, IL 60425-1845

Mailing address

201 E Glenwood Dyer Rd
Glenwood, IL 60425-1845

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2223562Brookwood School District 167201 E Glenwood-Dyer Rd, Glenwood, IL 60425Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

201 E Glenwood Dyer Rd
Glenwood, IL 60425
Phone (708) 758-5190

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194926154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GLENWOOD DYER RD",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GLENWOOD DYER RD",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251845",
            "telephone_number": "708-758-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD SCHOOL DISTRICT 167",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLESTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "708-758-5190"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.