PROVISO AREA EXCEPTIONAL CHILD (NPI# 1578944344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578944344 |
| Entity Type | Organization |
| Organization Name | PROVISO AREA EXCEPTIONAL CHILD |
| Practice Address |
1000 Van Buren St Maywood IL 60153-1970 |
| Practice Telephone | 7084502157 |
| Mailing Telephone | 7084502157 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | MS. SUE CALLAHAN (EXECUTIVE SECRETARY) |
| Authorized Official Telephone | 7084502157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
1000 VAN BUREN ST |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639738461 | Cynthia L Jacobson | Occupational Therapist | 1000 Van Buren St, Maywood, IL 60153-1970 | 2019-06-05 |
| 1609117613 | Anamika Dockens | Occupational Therapist | 1000 Van Buren St, Maywood, IL 60153 | 2013-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255456000 | Provison Twp Hs Dist 209 | Local Education Agency (LEA) | 807 S 1st Ave, Maywood, IL 60153-2307 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382624 | Rockdale School District 84 | Local Education Agency (LEA) | 715 Meadow Ave, Rockdale, IL 60436-2497 | 2020-07-06 |
| 1629603220 | Horizon Science Academy-belmont | Local Education Agency (LEA) | 2456 N Mango Ave, Chicago, IL 60639-2313 | 2020-03-04 |
| 1740815331 | Horizon Science Academy-mckinley Park | Local Education Agency (LEA) | 2245 W Pershing Rd, Chicago, IL 60609-2211 | 2020-03-04 |
| 1710538004 | Bronzeville Acadmey Charter School | Local Education Agency (LEA) | 4930 S Cottage Grove Ave, Chicago, IL 60615-2616 | 2019-09-27 |
| 1689223653 | Intrinsic Schools | Local Education Agency (LEA) | 79 W Monroe St Ste 400, Chicago, IL 60603-4903 | 2019-09-11 |
| 1992352645 | Amandla Charter School | Local Education Agency (LEA) | 6820 S Washtenaw Ave, Chicago, IL 60629-1826 | 2019-08-19 |
| 1851863427 | Northbrook District 27 | Local Education Agency (LEA) | 1250 Sanders Rd, Northbrook, IL 60062-2900 | 2018-12-20 |
| 1518439454 | Northbrook/glenview School District 30 | Local Education Agency (LEA) | 2374 Shermer Rd, Northbrook, IL 60062-6729 | 2018-12-17 |
| 1710460951 | Elgin Charter School Initiative LLC | Local Education Agency (LEA) | 1600 Dundee Ave, Elgin, IL 60120-1608 | 2018-09-13 |
| 1497205744 | Betty Shabazz Interantional Charter School | Local Education Agency (LEA) | 7823 S Ellis Ave, Chicago, IL 60619-3213 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
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| 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.