NPIMap

Organization Active NPI

Indian Springs SCH Dist 109

  • Student Health Clinic/Center
  • Justice, IL
National Provider Identifier
1497889687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
INDIAN SPRINGS SCH DIST 109
Practice address
7540 South 86TH Ave
Justice, IL 60458
Phone
(708) 496-8700
Fax
(708) 496-8641
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Jeffers
Title
Manager
Phone
(708) 496-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

7540 South 86TH Ave
Justice, IL 60458

Mailing address

7540 South 86TH Ave
Justice, IL 60458
Phone (708) 496-8700

National Provider Directory

National Provider Directory

Locations

7540 S 86th Ave
Justice, IL 60458
Phone (708) 496-8700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497889687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 SOUTH 86TH AVE",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "60458",
            "telephone_number": "708-496-8700",
            "fax_number": "708-496-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 SOUTH 86TH AVE",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "60458",
            "telephone_number": "708-496-8700",
            "fax_number": "708-496-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN SPRINGS SCH DIST 109",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-496-8700"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Justice, IL

Sources for this page

  • 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.