Downers Grove Grde SCH Dist 58

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DOWNERS GROVE GRDE SCH DIST 58

Practice address

1860 63Rd St
Downers Grove, IL 60516-2471

Phone

(630) 719-5800

Fax

(630) 719-9857

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dale Martin

Title

Superintendent

Phone

(630) 719-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mary Cannek, M.ED, ED.S

  • School Psychologist
  • Downers Grove, IL
  • NPI 1922579283
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972637288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 63RD ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162471",
            "telephone_number": "630-719-5800",
            "fax_number": "630-719-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 63RD ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162471",
            "telephone_number": "630-719-5800",
            "fax_number": "630-719-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNERS GROVE GRDE SCH DIST 58",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "630-719-5800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366005410001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Downers Grove Counseling and Wellness PLLC
• Downers Grove Eye Center, PC
• Downers Grove Family Practice,P.C.
• Downers Grove Geriatrics LLC
• Downers Grove Geriatrics, LLC
• Downers Grove Immediate Care Inc.
• Downers Grove Internists, S.C.
• Downers Grove Medical Group
• Downers Grove OB/GYN, P.C.
• Downers Grove Pediatrics LTD

• Local Education Agency (LEA) in Downers Grove, IL
• Providers in Downers Grove, 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 Jul 21, 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.