Dewitt Livingston Logan McLean Regional Office of Education #17

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DEWITT LIVINGSTON LOGAN MCLEAN REGIONAL OFFICE OF EDUCATION #17

Practice address

408 W Washington St
Bloomington, IL 61701-3808

Phone

(309) 828-5807

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Mark E Jontry

Title

Regional Superintendent

Phone

(309) 888-5120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1942930458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GROVE ST STE 300",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017628",
            "telephone_number": "309-888-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013808",
            "telephone_number": "309-828-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT LIVINGSTON LOGAN MCLEAN REGIONAL OFFICE OF EDUCATION #17",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "JONTRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "REGIONAL SUPERINTENDENT",
        "authorized_official_telephone_number": "309-888-5120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.