ANTIOCH CC SCHOOL DISTRICT 34 (NPI# 1952425258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952425258 |
| Entity Type | Organization |
| Organization Name | ANTIOCH CC SCHOOL DISTRICT 34 |
| Practice Address |
850 Highview Dr Antioch IL 60002-1141 |
| Practice Telephone | 8478388421 |
| Practice Fax Number | 8478388404 |
| Mailing Telephone | 8478388421 |
| Mailing Fax Number | 8478388404 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | SUSAN GEHRING (DIRECTOR) |
| Authorized Official Telephone | 8478388421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
850 HIGHVIEW DR |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376723957 | Jessica J Kinzle | Speech-Language Pathologist | 850 Highview Dr, Antioch, IL 60002-1141 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| 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 |
|---|---|---|---|---|
| 1558790618 | Kechi Supported Living, Inc | Local Education Agency (LEA) | 51079 Lone Tree Way, Antioch, CA 94531-8689 | 2013-11-08 |
| 1447528609 | Antioch Unified School District | Local Education Agency (LEA) | 510 G St, Antioch, CA 94509-1259 | 2011-12-02 |
| 1205007648 | Grass Lake School Dist No 36 | Local Education Agency (LEA) | 26177 W Grass Lake Rd, Antioch, IL 60002-9613 | 2008-03-13 |
| 1376718874 | Antioch School District 34 | Local Education Agency (LEA) | 800 Main St, Antioch, IL 60002-1542 | 2008-04-25 |
| 1609906031 | Antioch Community Hs Dist 117 | Local Education Agency (LEA) | 1133 Main St, Antioch, IL 60002-1807 | 2007-03-06 |
| 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 |
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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.