Eisenhower Cooperative

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

EISENHOWER COOPERATIVE

Practice address

4625 W 107TH St
Oak Lawn, IL 60453-5293

Phone

(708) 424-9900

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Ireland

Title

Director

Phone

(708) 424-9900

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Worth Township School Treasurer

  • Local Education Agency (LEA)
  • Oak Lawn, IL
  • NPI 1477728855
  NPPES parent name

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366587446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 W 107TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535293",
            "telephone_number": "708-424-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 W 107TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535293",
            "telephone_number": "708-424-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-424-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Egan
• Robert Terrell Egel, M.D.
• Matthew Eggert, PT, DPT
• Veronica Cecilia Ehmig, LCSW
• Sarah Jane Ehrhardt, PA-C
• Ejaz Tahir, DDS, Ms, LTD
• Tarek El Azzamy
• Hanin El-Khateeb, MD
• Mohamed Aly El-Meghallawy, PT
• Alaaeldin Elabady

• Student Health Clinic/Center in Oak Lawn, IL
• Providers in Oak Lawn, 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.