Provider Demographics
NPI:1518054022
Name:VILLAGE OF SCHAUMBURG
Entity Type:Organization
Organization Name:VILLAGE OF SCHAUMBURG
Other - Org Name:DIVISION OF PUBLIC HEALTH AND NURSING
Other - Org Type:Other Name
Authorized Official - Title/Position:SR ASSISTANT TO THE VILLAGE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TEMPESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-923-4718
Mailing Address - Street 1:521 E SCHAUMBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3539
Mailing Address - Country:US
Mailing Address - Phone:847-923-3766
Mailing Address - Fax:847-923-4405
Practice Address - Street 1:521 E SCHAUMBURG ROAD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3539
Practice Address - Country:US
Practice Address - Phone:847-923-3766
Practice Address - Fax:847-923-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00232944Medicare PIN
332390Medicare PIN