GAVIN SCHOOL DISTRICT 37 NPI 1811409196

NPI Information

NPI: 1811409196
Provider Name: GAVIN SCHOOL DISTRICT 37
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 14D2203900

Address:
25775 W HIGHWAY 134
INGLESIDE, IL
ZIP 60041
Phone: (224) 577-4105
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GAVIN SCHOOL DISTRICT 37 is a student health clinic center in Ingleside, IL. GAVIN SCHOOL DISTRICT 37 NPI is 1811409196. The provider is registered as an organization entity type.

The provider's business location address is:

25775 W HIGHWAY 134
INGLESIDE, IL
ZIP 60041-587
Phone: (224) 577-4105

The provider's authorized official is Kathleen Lewis .
The authorized official title is Administrative Assistant Special Ed and has the following contact phone number (224) 577-4105.

The CLIA number assigned to this NPI record is 14D2203900 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 10/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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