Organization Active NPI

Lagrange School District 105

  • Local Education Agency (LEA)
  • La Grange, IL
National Provider Identifier
1861736563
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LAGRANGE SCHOOL DISTRICT 105
Practice address
701 7TH Ave
La Grange, IL 60525-6705
Phone
(708) 482-2700
Fax
(708) 482-2727
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Glenn Schlichting
Title
Superintendent
Phone
(708) 482-2700

Specialties & licenses 1

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

Addresses

Primary practice location

701 7TH Ave
La Grange, IL 60525-6705

Mailing address

701 7TH Ave
La Grange, IL 60525-6705
Phone (708) 482-2700

Other identifiers 1

IdentifierTypeStateIssuer
3660063476052502MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Lagrange School District 1052 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

701 7th Ave
La Grange, IL 60525
Phone (708) 482-2700

1001 S Spring Ave
Lagrange Hlds, IL 60525
Phone (708) 482-2710

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1861736563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 7TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256705",
            "telephone_number": "708-482-2700",
            "fax_number": "708-482-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 7TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256705",
            "telephone_number": "708-482-2700",
            "fax_number": "708-482-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE SCHOOL DISTRICT 105",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHLICHTING",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "708-482-2700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3660063476052502",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.