LISBON GRADE SCHOOL #90 (NPI# 1417000670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417000670 |
| Entity Type | Organization |
| Organization Name | LISBON GRADE SCHOOL #90 |
| Practice Address |
127 S Canal St Newark IL 60541-9776 |
| Practice Telephone | 8157366324 |
| Practice Fax Number | 8157366326 |
| Mailing Telephone | 8157366324 |
| Mailing Fax Number | 8157366326 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL RUSTMAN (SUPERINTENDENT) |
| Authorized Official Telephone | 8157366324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
127 S CANAL ST |
| City | NEWARK |
| State | IL |
| Zip Code | 60541-9776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578703880 | Jeffrey Charles Clausen I | Counselor | 24402 West Lockport, Plainfield, IL 60541 | 2009-02-26 |
| 1790817369 | Carol Jay Navarro | Specialist/Technologist | 413 Chicago Road, Newark High School, Newark, IL 60541 | 2007-03-09 |
| 1972684066 | Valerie Wodzinski | Clinical Nurse Specialist | 119 Northgate, Riverside, IL 60541 | 2006-10-17 |
| 1366585101 | Jennifer Bazan | Physical Therapist | 1938 E Lincoln Highway, Suite 111, New Lenox, IL 60541 | 2007-02-14 |
| 1114363470 | Jennifer A Frye | Nurse Practitioner | 5 N Johnson St, Newark, IL 60541-0002 | 2013-05-14 |
| 1235247594 | Newark Fire Protection District | Ambulance | 101 E. Main St, Newark, IL 60541-0577 | 2006-08-28 |
| 1659424802 | Newark Community High School #18 | Local Education Agency (LEA) | 413 Chicago Rd, Newark, IL 60541-8900 | 2007-01-19 |
| 1437255460 | Barbara L. Wrobel | Physical Therapist | 4434 E 29th Rd, Newark, IL 60541-9125 | 2006-09-16 |
| 1053882779 | Emma Leigh Nelson | Specialist/Technologist | 16647 Townhouse Rd, Newark, IL 60541-9219 | 2018-12-06 |
| 1801949060 | Newark Grade School #66 | Local Education Agency (LEA) | 503 Chicago Rd, Newark, IL 60541-9501 | 2007-01-19 |
| Find all providers in zip 60541 | ||||
| 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 |
|---|---|---|---|---|
| 1972076404 | Maria L. Varisco-rogers Charter School | Local Education Agency (LEA) | 243 Woodside Ave, Newark, NJ 07104-3113 | 2019-01-08 |
| 1043724149 | University Heights Charter School | Local Education Agency (LEA) | 74 Hartford St, Newark, NJ 07103-2832 | 2017-11-28 |
| 1881120707 | Kipp Cooper Norcross, A New Jersey Nonprofit Corporation | Local Education Agency (LEA) | 60 Park Pl Ste 802, Newark, NJ 07102-5508 | 2017-05-11 |
| 1902339179 | People's Preparatory Charter School | Local Education Agency (LEA) | 321 Bergen St, Newark, NJ 07103-2639 | 2017-04-05 |
| 1306394762 | Newark Prep Charter School | Local Education Agency (LEA) | 570 Broad St, Newark, NJ 07102-4532 | 2016-09-14 |
| 1477962801 | Marion P. Thomas Charter High School | Local Education Agency (LEA) | 88-108 Shipman St, Newark, NJ 07102-1212 | 2014-08-11 |
| 1174955736 | Las Americas Aspira Academy | Local Education Agency (LEA) | 326 Ruthar Dr, Newark, DE 19711-8017 | 2013-08-06 |
| 1629312970 | North Star Academy | Local Education Agency (LEA) | 10 Washington Pl, Newark, NJ 07102-3106 | 2012-11-26 |
| 1760787089 | Par Excellence Academy | Local Education Agency (LEA) | 96 Maholm St, Newark, OH 43055-3906 | 2011-01-18 |
| 1548422322 | Newark Charter School | Local Education Agency (LEA) | 2001 Patriot Way, Newark, DE 19711-1809 | 2008-07-02 |
| Find all providers in NEWARK | ||||
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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.