Organization Active NPI

Medinah SCH Dist 11

  • Local Education Agency (LEA)
  • Roselle, IL
National Provider Identifier
1619008737
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MEDINAH SCH DIST 11
Practice address
700 E Granville Ave
Roselle, IL 60172-1406
Phone
(630) 894-0490
Fax
(630) 894-5960
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Maureen Hill
Title
Coordinator
Phone
(630) 894-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

700 E Granville Ave
Roselle, IL 60172-1406

Mailing address

700 E Granville Ave
Roselle, IL 60172-1406
Phone (630) 894-0490

National Provider Directory

National Provider Directory

Locations

700 E Granville Ave
Roselle, IL 60172
Phone (630) 893-3838

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1619008737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E GRANVILLE AVE",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721406",
            "telephone_number": "630-894-0490",
            "fax_number": "630-894-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GRANVILLE AVE",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721406",
            "telephone_number": "630-894-0490",
            "fax_number": "630-894-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINAH SCH DIST 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "630-894-0490"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • 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.