Channahon School District 17

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHANNAHON SCHOOL DISTRICT 17

Practice address

24920 S Sage St
Channahon, IL 60410-8617

Phone

(815) 467-4315

NPI assigned

Feb 29, 2008

Last updated

Feb 29, 2008By 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. Michael James Schroeder

Title

Business Manager

Phone

(815) 521-2123

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1437328853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24920 S SAGE ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108617",
            "telephone_number": "815-467-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24920 S SAGE ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108617",
            "telephone_number": "815-467-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNAHON SCHOOL DISTRICT 17",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-521-2123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuzhat Chalisa, MD
• Channahon Dui Services, LLC
• Channahon Fire Protection District
• Channahon Home Dialysis, LLC
• Channahon Ranch Pharmacy Inc
• Scott P Ciechna, M.D.
• Maryann Cook, M.A., L.C.P.C.
• Cornerstone Services Inc
• Cornerstone Services, Inc
• Melynda Rae Costa

• Local Education Agency (LEA) in Channahon, IL
• Providers in Channahon, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.