Palos Heights School District 128

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PALOS HEIGHTS SCHOOL DISTRICT 128

Practice address

12809 S McVickers Ave
Palos Heights, IL 60463-2351

Phone

(708) 597-9040

NPI assigned

Feb 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Sak, DR

Title

Superintendent

Phone

(708) 597-9040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922143965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 S MCVICKERS AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632351",
            "telephone_number": "708-597-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 S MCVICKERS AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632351",
            "telephone_number": "708-597-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS HEIGHTS SCHOOL DISTRICT 128",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "708-597-9040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palos Emergency Medical Services, LTD
• Palos Family Dental LLC
• Palos Heights Dental Group, P.C.
• Palos Heights Fire Protection District
• Palos Heights Medical Center (shakir moiduddin)
• Palos Heights Sleep Center LTD
• Palos Hills Pharmacy, Inc. (Hills Drug Palos)
• Palos Medical Care SC
• Palos Pain Center
• Palos Pediatric Dentistry, PC

• Student Health Clinic/Center in Palos Heights, IL
• Providers in Palos Heights, 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.