Woodland C C Dist 50

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WOODLAND C C DIST 50

Practice address

1105 N Hunt Club Rd
Gurnee, IL 60031-2418

Phone

(847) 596-5632

NPI assigned

Mar 20, 2007

Last updated

Mar 15, 2016By 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

Donna Vandenbroek

Title

Director

Phone

(847) 596-5632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1568587244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N HUNT CLUB RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312418",
            "telephone_number": "847-596-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N HUNT CLUB RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312418",
            "telephone_number": "847-596-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND C C DIST 50",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "VANDENBROEK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-596-5632"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Wilson, LMSW
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• Alexander Wisniewski
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• Women's Healthcare Group of Illinois SC
• Jocelyn Wynveen, APN
• Xavier W. Parreno, M.D., S.C.
• Jean Alcasid Yao, NP
• Naheed Yasmeen
• Vanessa Yee

• Local Education Agency (LEA) in Gurnee, IL
• Providers in Gurnee, 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 Mar 15, 2016; 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.