Healthcare Provider Details

I. General information

NPI: 1114105103
Provider Name (Legal Business Name): LARAWAY CCSD #70C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 ROWELL AVE
JOLIET IL
60433
US

IV. Provider business mailing address

1715 ROWELL AVE
JOLIET IL
60433-8551
US

V. Phone/Fax

Practice location:
  • Phone: 815-727-5115
  • Fax: 815-727-5289
Mailing address:
  • Phone: 815-727-5115
  • Fax: 815-727-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. JOE SALMIERI
Title or Position: SUPERINTENDENT
Credential:
Phone: 815-727-5115