INDIAN SPRINGS SCH DIST 109 – NPI #1497889687
Clinic/Center

INDIAN SPRINGS SCH DIST 109 is an AHC clinic located in JUSTICE, IL. NPPES has assigned the NPI number 1497889687 to INDIAN SPRINGS SCH DIST 109 on March 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIAN SPRINGS SCH DIST 109 below.

NPI Profile for
INDIAN SPRINGS SCH DIST 109

NPI Number
1497889687
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIAN SPRINGS SCH DIST 109
Primary location
7540 SOUTH 86TH AVE
JUSTICE, IL 60458
Phone: (708) 496-8700 Fax: (708) 496-8641
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA JEFFERS
MANAGER
Phone: (708) 496-8700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.