MEDICARE: LEYDEN COMMUNITY HIGH SCHOOL DISTRICT 212

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		IL

General Provider Information

NPI Number	:	1265558639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEYDEN COMMUNITY HIGH SCHOOL DISTRICT 212

Provider Business Mailing Address
First Line	:	3400 ROSE ST
Second Line	:
City	:	FRANKLIN PARK
State	:	IL
Zip	:	60131-2155
Country	:	US
Telephone Number	:	847-451-3021
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 ROSE ST
Second Line	:
City	:	FRANKLIN PARK
State	:	IL
Zip	:	60131-2155
Country	:	US
Telephone Number	:	847-451-3021
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SUPERINTENDENT
Name	:	ROBERT JOHNSON
Credential	:
Telephone Number	:	847-451-3021

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1619809787 — CHERI BUMP
Practice Location Address:

201 PARK ST
FORT ATKINSON, WI
53538-2155

Practice Phone: 920-563-7840
Practice Fax:

1689506693 — VALERIA SANTANA
Practice Location Address:

201 PARK ST
FORT ATKINSON, WI
53538-2155

Practice Phone: 920-563-7822
Practice Fax:

1760899579 — REBECCA TENHOOR OTR/L
Practice Location Address:

201 PARK ST
FORT ATKINSON, WI
53538-2155

Practice Phone: 920-563-7840
Practice Fax:

1811950124 — THOMAS M SHEEHAN DC
Practice Location Address:

352 PARK ST STE 103
NORTH READING, MA
01864-2155

Practice Phone: 978-664-1151
Practice Fax:

1740239037 — DR. PATRICK VINCENT SCOTT D.D.S. M.D.
Practice Location Address:

4010 SOUTHWESTERN BLVD
ORCHARD PARK, NY
14127-2155

Practice Phone: 716-646-9600
Practice Fax: 716-646-9603

1669400917 — MRS. JENNIFER BLACKSTONE OTR/L
Practice Location Address:

2155 W PARK CT , SUITE G/ H
STONE MOUNTAIN, GA
30087-3500

Practice Phone: 770-465-5084
Practice Fax: 770-465-5304

Directions to “LEYDEN COMMUNITY HIGH SCHOOL DISTRICT 212 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.