Active NPI
Gavin School District 37
- Student Health Clinic/Center
- Ingleside, IL
National Provider Identifier
1811409196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- GAVIN SCHOOL DISTRICT 37
- Practice address
- 25775 W Highway 134
Ingleside, IL 60041-9587 - Phone
- (224) 577-4105
- NPI assigned
- Oct 26, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kathleen Lewis
- Title
- Administrative Assistant Special Ed
- Phone
- (224) 577-4105
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- School Psychologist
- Ingleside, IL
- NPI 1871151464
National Provider Directory
National Provider DirectoryLocations
25775 W Il Route 134
Ingleside, IL 60041
Phone (224) 577-4105
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
25775 W Highway 134
Ingleside, IL 60041-9587
Mailing address
25775 W Highway 134
Ingleside, IL 60041-9587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2017.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508976000000",
"number": "1811409196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25775 W HIGHWAY 134",
"city": "INGLESIDE",
"state": "IL",
"postal_code": "600419587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25775 W HIGHWAY 134",
"city": "INGLESIDE",
"state": "IL",
"postal_code": "600419587",
"telephone_number": "224-577-4105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAVIN SCHOOL DISTRICT 37",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-26",
"last_updated": "2017-10-26",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT SPECIAL ED",
"authorized_official_telephone_number": "224-577-4105"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ingleside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.