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NPI Code Detail

MEDICARE: POSEN-ROBBINS EL SCH DIST 1435

MEDICARE: POSEN-ROBBINS EL SCH DIST 1435
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
1251300000XLocal Education Agency (LEA)
2261QS1000XStudent Health Clinic/Center

General Provider Information

NPI Number : 1548305667
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSEN-ROBBINS EL SCH DIST 1435
Provider Business Mailing Address
First Line : 14011 HARRISON AVENUE
Second Line :
City : POSEN
State : IL
Zip : 60469
Country : US
Telephone Number : 708-388-7200
Fax Number : 708-388-3868
Provider Business Practice Location Address
First Line : 14011 HARRISON AVENUE
Second Line :
City : POSEN
State : IL
Zip : 60469
Country : US
Telephone Number : 708-388-7200
Fax Number : 708-388-3868
Authorized Official
Title or Position : SUPERINTENDENT
Name : DR. ANTHONY EDISON
Credential :
Telephone Number : 708-388-7200
Provider Enumeration Date : 02/20/2007
Last Update Date : 12/15/2025

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Directions to “POSEN-ROBBINS EL SCH DIST 1435 ” Practice Location

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