NPI
Summit Sch Dist 104
Phone (708) 458-0505 · Fax (708) 728-3111 · NPI 1528183589
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-03-20
- Last updated
- 2020-08-22
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 60th Street & 74th Ave
- City
- Summit IL
- Postal code
- 60501
- Phone
- (708) 458-0505
- Fax
- (708) 728-3111
Organization contact
- Name
- Patricia Derrig
- Title
- Director
- Phone
- (708) 458-0505
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Summit, IL. 65 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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