KANKAKEE SCHOOL DISTRICT 111


Address: 1200 W Jeffery St, Kankakee, IL 60901-4667
Phone: 8159330690

KANKAKEE SCHOOL DISTRICT 111 (NPI# 1225378094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225378094
Entity Type Organization
Organization Name KANKAKEE SCHOOL DISTRICT 111
Other Organization Name KHS SCHOOL-BASED HEALTH CENTER
Practice Address 1200 W Jeffery St
Kankakee
IL 60901-4667
Practice Telephone 8159330690
Practice Fax Number 8159336704
Mailing Telephone 8159330690
Mailing Fax Number 8159336704
Enumeration Date 2013-02-15
Last Update Date 2013-02-15
Authorized Official Name MRS. JEANETTE KREUZ (ASSISTANT SUPERINTENDENT)
Authorized Official Telephone 8158027752
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
KHS School-Based Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447382635 Kankakee School District 111 Local Education Agency (LEA) 240 Warren Ave, Kankakee, IL 60901-4319 2007-03-12

Office Location

Street Address 1200 W JEFFERY ST
City KANKAKEE
State IL
Zip Code 60901-4667

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558978841 William Mitsos Dds Dentist 1291 S. 7th Ave, Kankakee, IL 60901 2020-09-30
1922653682 Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC Counselor 315 W. Court St., Kankakee, IL 60901 2019-08-08
1700346327 Sarah Elizabeth Toma Speech-Language Pathologist 200 E Court St #708, Kankakee, IL 60901 2019-03-20
1710473160 Small Talk Speech Services, LLC Clinic/Center 1439 W Vanmeter St, Kankakee, IL 60901 2018-07-09
1124538004 Amy J Green Physical Therapist 350 N. Wall Street, Kankakee, IL 60901 2017-10-05
1013457514 Elizabeth Ann Smith Registered Nurse 292 Charlton Lane, Kankakee, IL 60901 2017-03-02
1861931461 Stacey E. Brown Nurse Practitioner 207 N. Schuyler Ave., Kankakee, IL 60901 2017-02-15
1417352105 Provider Healthcare Services, Inc Home Health 555 South Schuyler, Suite 275, Kankakee, IL 60901 2014-10-24
1265850655 Ronald George Testa Dentist 202 N. Schuyler Ave, Kankakee, IL 60901 2014-04-02
1245587898 Mary Beth Wertz Registered Nurse 100 N Jeffery Street, Kankakee, IL 60901 2012-08-13
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811409196 Gavin School District 37 Clinic/Center 25775 W Highway 134, Ingleside, IL 60041-9587 2017-10-26
1053822080 Northestern Illinois University Student Health Services Clinic/Center 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 2017-10-17
1871905190 The Board of Trustees of The University of Illinois Clinic/Center 840 Blackhawk Blvd, South Beloit, IL 61080-2263 2014-05-21
1043630098 Mcgaw Medical Center of Northwestern University Clinic/Center 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 2014-04-17
1407284664 Pef Clinic II, Ltd. Clinic/Center 1955 E 75th St, Chicago, IL 60649-3688 2013-10-28
1508294091 South Shore School of Leadership Health Center Clinic/Center 7627 S Constance Ave, Chicago, IL 60649-4009 2013-10-22
1659705150 Circle Family Healthcare Network Clinic/Center 4701 Harrison St, Hillside, IL 60162-1616 2013-09-03
1932441946 The Board of Trustees of Siu Governing Siue Clinic/Center Student Success Ctr Rm 0222, Campus Box 1055, Edwardsville, IL 62026-1055 2013-03-18
1033478383 Rockford School District Clinic/Center 401 N Gardiner Ave, Rockford, IL 61107-4338 2012-05-07
1306117304 Fox Lake Grade School District #114 Clinic/Center 29067 W Grass Lake Rd, Spring Grove, IL 60081-9494 2012-01-23
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Competitor

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City KANKAKEE
Zip Code 60901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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