Organization Active NPI

Reavis High School 220

  • Local Education Agency (LEA)
  • Burbank, IL
National Provider Identifier
1407971468
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.