Organization Active NPI

Country Club Hills School District 160

  • Local Education Agency (LEA)
  • Country Club Hills, IL
National Provider Identifier
1194993204
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COUNTRY CLUB HILLS SCHOOL DISTRICT 160
Practice address
4411 185TH St
Country Club Hills, IL 60478-4501
Phone
(708) 957-6200
NPI assigned
Feb 12, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Steve Koruna
Title
Medicaid Admin
Phone
(708) 957-6200

Specialties & licenses 1

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

Addresses

Primary practice location

4411 185TH St
Country Club Hills, IL 60478-4501

Mailing address

4411 185TH St
Country Club Hills, IL 60478-4501
Phone (708) 957-6200

National Provider Directory

National Provider Directory

Locations

4411 185th St
Country Club Hills, IL 60478
Phone (708) 957-6200

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194993204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 185TH ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784501",
            "telephone_number": "708-957-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 185TH ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784501",
            "telephone_number": "708-957-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CLUB HILLS SCHOOL DISTRICT 160",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KORUNA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MEDICAID ADMIN",
        "authorized_official_telephone_number": "708-957-6200"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.