Rantoul TWP HS 193

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

RANTOUL TWP HS 193

Practice address

200 S Sheldon St
Rantoul, IL 61866-2431

Phone

(217) 892-2151

NPI assigned

Mar 29, 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

Mr. David Requa

Title

Superintendent

Phone

(217) 892-2151

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.

• Amy Kulczycki, ATC, CSCS

  • Athletic Trainer
  • Rantoul, IL
  • NPI 1265450803
  NPD (past)
• Allyson Magno, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Rantoul, IL
  • NPI 1568977965
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326168030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SHELDON ST",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618662431",
            "telephone_number": "217-892-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SHELDON ST",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618662431",
            "telephone_number": "217-892-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANTOUL TWP HS 193",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REQUA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "217-892-2151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Care LLC
• Jesus Presiado, APRN
• Promise Healthcare NFP
• Rantoul City School 137
• Rantoul Estates, LLC
• Robert Foy Robinson, DDS
• Leo D Roessler
• Rosecrance Inc
• Kathleen M Rouse
• Robert Schorsch, D.M.D

• Student Health Clinic/Center in Rantoul, IL
• Providers in Rantoul, IL by specialty
• Student Health Clinic/Center 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.