Park Lawn School & Activity Center, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

92C173 Issued in IL

Legal business name

PARK LAWN SCHOOL & ACTIVITY CENTER, INC.

Practice address

10833 Laporte Ave
Oak Lawn, IL 60453-5412

Phone

(708) 425-3344

Fax

(708) 425-3530

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James R Weise

Title

Executive Director

Phone

(708) 425-3344

Specialties & licenses 4

Addresses

Other identifiers 3

Tax ID family

Park Lawn Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Park Lawn Center

  • Intellectual Disabilities Intermediate Care Facility
  • Oak Lawn, IL
  • NPI 1467761312
  NPD tax ID
• Park Lawn Home

  • Intellectual Disabilities Intermediate Care Facility
  • Oak Lawn, IL
  • NPI 1285943134
  NPD tax ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Park Lawn Center

  • Intellectual Disabilities Intermediate Care Facility
  • Oak Lawn, IL
  • NPI 1467761312
  NPPES parent name
• Park Lawn Home

  • Intellectual Disabilities Intermediate Care Facility
  • Oak Lawn, IL
  • NPI 1285943134
  NPPES parent name

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609094788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LAPORTE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535412",
            "telephone_number": "708-425-3344",
            "fax_number": "708-425-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LAPORTE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535412",
            "telephone_number": "708-425-3344",
            "fax_number": "708-425-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LAWN SCHOOL & ACTIVITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WEISE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-425-3344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0027078",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0035527",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "92C173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027078",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035527",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE",
            "identifier": "92C172",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Alicia Paredes, OTR/L
• Trupti R Parikh, CPNP-PC
• Nicole Paris, BCBA
• Park Lawn Center
• Park Lawn Home
• Michelle Park-Huang
• Jimmy K Park, MD
• Ashley Denise Parker-Shearer
• Judith M Parker, R.N.
• Mya Parker

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.