Healthcare Provider Details

I. General information

NPI: 1720998347
Provider Name (Legal Business Name): NORTHFIELD TOWNSHP HS DIST 225
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W LAKE AVE
GLENVIEW IL
60026-1239
US

IV. Provider business mailing address

4000 W LAKE AVE
GLENVIEW IL
60026-1239
US

V. Phone/Fax

Practice location:
  • Phone: 847-486-4706
  • Fax:
Mailing address:
  • Phone: 847-486-4706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LARA CUMMINGS
Title or Position: ASSISTANT SUPERINTENDENT
Credential:
Phone: 847-486-4706