Organization Active NPI

Gavin School District 37

  • Student Health Clinic/Center
  • Ingleside, IL
National Provider Identifier
1811409196
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
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.

National Provider Directory

National Provider Directory

Locations

25775 W Il Route 134
Ingleside, IL 60041
Phone (224) 577-4105

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.