Lake Bluff School District 65

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

LAKE BLUFF SCHOOL DISTRICT 65

Practice address

350 W Washington Ave
Lake Bluff, IL 60044-1818

Phone

(847) 347-4983

NPI assigned

May 17, 2023

Last updated

Sep 11, 2023By 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

Tracy Roehrick

Title

Special Education Coordinator

Phone

(847) 234-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Timothy Burks

  • School Psychologist
  • Lake Bluff, IL
  • NPI 1598598369
  NPD
• Anjanette Rawhoof

  • Occupational Therapist
  • Lake Bluff, IL
  • NPI 1356128763
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1205527546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WASHINGTON AVE",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WASHINGTON AVE",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441818",
            "telephone_number": "847-347-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BLUFF SCHOOL DISTRICT 65",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "ROEHRICK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "SPECIAL EDUCATION COORDINATOR",
        "authorized_official_telephone_number": "847-234-9400"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saedy Lynn Kugler
• Douglas S Labelle, LCSW
• Lake Bluff Acupuncture, LLC
• Lake Bluff Family Eye Care, Inc.
• Lake Bluff Il Endoscopy ASC LLC (North Shore Endoscopy)
• Lake Bluff School District 65
• Lake Forest Pediatric Associates, LTD
• Hayley Lakin
• Lawrence a Short DPM LTD (University Foot Associates)
• John Jonghwan Lee, DDS

• Pediatric Occupational Therapist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.