Fox Lake Grade School District #114

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

FOX LAKE GRADE SCHOOL DISTRICT #114

Practice address

29067 W Grass Lake Rd
Spring Grove, IL 60081-9494

Phone

(847) 973-4028

Fax

(847) 973-4010

NPI assigned

Jan 23, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Therese A Hay

Title

Business Manager

Phone

(847) 973-4028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1306117304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29067 W GRASS LAKE RD",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600819494",
            "telephone_number": "847-973-4028",
            "fax_number": "847-973-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29067 W GRASS LAKE RD",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600819494",
            "telephone_number": "847-973-4028",
            "fax_number": "847-973-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX LAKE GRADE SCHOOL DISTRICT #114",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-973-4028",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Ferrigan-Wilson, LCSW
• Robin Fields
• Zayna M Flahaut, RD
• Samantha Foote, MS, RDN
• Darrin R Foszcz, D.C.
• Erica Frisby
• Natalie J Frobish, DC
• Marie Claire Yvo Garduque, PT
• Crystal Gilbert
• Helen Gondek, DPT

• All providers in Spring Grove, IL
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.