Active NPI
Reavis High School 220
- Local Education Agency (LEA)
- Burbank, IL
National Provider Identifier
1407971468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- REAVIS HIGH SCHOOL 220
- Practice address
- 6034 W 77TH St
Burbank, IL 60459-3112 - Phone
- (708) 599-7200
- Fax
- (708) 599-1544
- NPI assigned
- Mar 20, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Negrete
- Title
- Business Manager
- Phone
- (708) 599-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
6034 W 77TH St
Burbank, IL 60459-3112
Mailing address
6034 W 77TH St
Burbank, IL 60459-3112
Phone (708) 599-7200
National Provider Directory
National Provider DirectoryLocations
6034 W 77th St
Burbank, IL 60459
Phone (708) 599-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1407971468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6034 W 77TH ST",
"city": "BURBANK",
"state": "IL",
"postal_code": "604593112",
"telephone_number": "708-599-7200",
"fax_number": "708-599-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6034 W 77TH ST",
"city": "BURBANK",
"state": "IL",
"postal_code": "604593112",
"telephone_number": "708-599-7200",
"fax_number": "708-599-1544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAVIS HIGH SCHOOL 220",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "NEGRETE",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "708-599-7200"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.