Grant Park Community Unit District 6

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

32046006026 Issued in IL

Legal business name

GRANT PARK COMMUNITY UNIT DISTRICT 6

Practice address

421 Esson Farm Rd
Grant Park, IL 60940-7262

Phone

(815) 465-6013

Fax

(815) 465-2505

NPI assigned

Jan 31, 2008

Last updated

Apr 20, 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

Dr. Michael Thomas Nicholson

Title

Superintendent

Phone

(815) 465-6013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1538347695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "GRANT PARK",
            "state": "IL",
            "postal_code": "609400549",
            "telephone_number": "815-465-6013",
            "fax_number": "815-465-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ESSON FARM RD",
            "city": "GRANT PARK",
            "state": "IL",
            "postal_code": "609407262",
            "telephone_number": "815-465-6013",
            "fax_number": "815-465-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT PARK COMMUNITY UNIT DISTRICT 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "815-465-6013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IL",
            "license": "32046006026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Berger, CRNA
• Corryn A Brooks, ATC
• Dana Dickson, RPH
• Kathleen Flanagan
• Chris Gnandt, PT, DPT
• Grant Park Fire Protection District
• Grant Park School District #6
• Hillary Rose Hubert, ED.S
• Heather Ohm
• Crystal Danae' Pombert, RBT

• Local Education Agency (LEA) in Grant Park, IL
• Providers in Grant Park, 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 Apr 20, 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.