Grass Lake School Dist No 36

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GRASS LAKE SCHOOL DIST NO 36

Practice address

26177 W Grass Lake Rd
Antioch, IL 60002-9613

Phone

(847) 395-1550

NPI assigned

Mar 13, 2008

Last updated

Mar 14, 2016By 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

Donna Shupe

Title

Director

Phone

(847) 395-1550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Marie Lee

  • School Psychologist
  • Antioch, IL
  • NPI 1154963429
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1205007648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26177 W GRASS LAKE RD",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029613",
            "telephone_number": "847-395-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26177 W GRASS LAKE RD",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029613",
            "telephone_number": "847-395-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASS LAKE SCHOOL DIST NO 36",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "SHUPE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-395-1550"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rachel Friedman, MS. ED
• Valeri Galloway, MOT,OTR/L
• Jessica Gebbink, LCSW
• Joseph Paul Gomes, PHARM.D.
• Reesa Gorenstein, ED.S
• Jill Marie Grass, RBT
• Colleen Mary Green
• Alecia Grever, LCPC
• Lorelei Lynne Grise', D.D.S.
• Claudia Gutierrez

• Local Education Agency (LEA) in Antioch, IL
• Providers in Antioch, 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 Mar 14, 2016; 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.