Manteno School District #5

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MANTENO SCHOOL DISTRICT #5

Practice address

250 North Poplar
Manteno, IL 60950

Phone

(815) 928-7000

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By 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

Mrs. Dawn Russert

Title

Superintendent

Phone

(815) 928-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306058482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH POPLAR",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "60950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTH POPLAR",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "60950",
            "telephone_number": "815-928-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTENO SCHOOL DISTRICT #5",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSERT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "815-928-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Macagba, OD
• Madhu Malhotra, M.D.
• Manteno Chiropractic & Wellness Center
• Manteno Community Fire Protection District
• Manteno Physical Therapy, LLC
• Manteno Springs Assisted Living
• Robert P Martin, DPM
• Gerise M. Martinez, RNFA
• Martins Ambulance Inc
• Arthur J Mattson, MSW

• Local Education Agency (LEA) in Manteno, IL
• Providers in Manteno, 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 Aug 22, 2020; 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.