ILLINOIS SCHOOLD FOR THE DEAF NPI 1396930988

NPI Details

ILLINOIS SCHOOLD FOR THE DEAF is a local education agency lea in Jacksonville, IL. The provider is 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. ILLINOIS SCHOOLD FOR THE DEAF NPI is 1396930988. The provider is registered as an organization entity type.

The provider's business location address is:

125 S WEBSTER AVE
JACKSONVILLE, IL
ZIP 62650-877
Phone: (217) 479-4200
Fax: (217) 479-4209

The provider's authorized official is Marybeth Lauderdale .
The authorized official title is Superintendent and has the following contact phone number (217) 479-4201.

The CLIA number assigned to this NPI record is 14D2199111 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.

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:

Other Identifiers

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