Lake Villa CCSD 41

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LAKE VILLA CCSD 41

Practice address

131 McKinley Ave
Lake Villa, IL 60046-8986

Phone

(847) 356-2385

Fax

(847) 356-2670

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mary Conkling

Title

Director

Phone

(847) 356-2385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1487788980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MCKINLEY AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468986",
            "telephone_number": "847-356-2385",
            "fax_number": "847-356-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MCKINLEY AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468986",
            "telephone_number": "847-356-2385",
            "fax_number": "847-356-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VILLA CCSD 41",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "CONKLING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-356-2385"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• You-Sah Kim, M.D.
• Adam Joshua Krieger, M.A., L.C.S.W
• Steven Douglas Kulb, PSY.D.
• Aarti Kulkarni, M.D.
• Lake County Health Department
• Lake Villa Fire Protection District
• Lake Villa Internal Medicine
• Michelle K Laplante, LCSW
• Alexis Desarae Laporta, LCSW
• Rebecca L Lara, DPT

• Local Education Agency (LEA) in Lake Villa, IL
• Providers in Lake Villa, 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 May 16, 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.