Evergreen Park SCH Dist 124

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

EVERGREEN PARK SCH DIST 124

Practice address

9400 S Sawyer Ave
Evergreen Park, IL 60805-2328

Phone

(708) 423-0950

Fax

(708) 423-5020

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Teri Louer

Title

Director

Phone

(708) 423-0950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Horn

  • Speech-Language Pathologist
  • Evergreen Park, IL
  • NPI 1790569788
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790809093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S SAWYER AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052328",
            "telephone_number": "708-423-0950",
            "fax_number": "708-423-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 S SAWYER AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052328",
            "telephone_number": "708-423-0950",
            "fax_number": "708-423-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PARK SCH DIST 124",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOUER",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-423-0950"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Living & Rehab Center LLC
• Evergreen Medical, LTD.
• Evergreen Park Chiropractic Center Inc
• Evergreen Park Cu HS Dist 231
• Evergreen Park Pharmacy Inc
• Evergreen Park Spine & Injury Center PC
• Evergreen Sheridan Laboratories LTD
• Evergreen Smiles Dental
• Melissa K Ewa, DDS
• Experience Health, S.C.

• Student Health Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Student Health Clinic/Center 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.