Illini Central 189

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ILLINI CENTRAL 189

Practice address

208 N West St
Mason City, IL 62664-1066

Phone

(309) 347-5167

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By 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

Sally Masear

Title

Director

Phone

(309) 347-5167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497957963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N WEST ST",
            "city": "MASON CITY",
            "state": "IL",
            "postal_code": "626641066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N WEST ST",
            "city": "MASON CITY",
            "state": "IL",
            "postal_code": "626641066",
            "telephone_number": "309-347-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINI CENTRAL 189",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASEAR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-347-5167"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittani Nicole Elling
• Susan Estoye
• Ellen Michelle Hendricks, APN
• Julianne a Manuel (Mason City Pharmacy)
• Gregory Michael Kane, DDS
• Julianne Annette Manuel, RPH
• Mason City Area Nursing Home Association, Inc (Mason City Area Nursing Home)
• Mason City Area Nursing Home Association, Inc. (Mason City Area Nursing Home)

• Local Education Agency (LEA) in Mason City, IL
• Providers in Mason City, 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 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.