Provider Demographics
NPI:1770614125
Name:LINCOLN ELEMENTARY SCHOOL DISTRICT #27
Entity type:Organization
Organization Name:LINCOLN ELEMENTARY SCHOOL DISTRICT #27
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:S
Authorized Official - Last Name:OLTMANNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-732-2522
Mailing Address - Street 1:100 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-2677
Mailing Address - Country:US
Mailing Address - Phone:217-732-2522
Mailing Address - Fax:217-732-2198
Practice Address - Street 1:100 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-2677
Practice Address - Country:US
Practice Address - Phone:217-732-2522
Practice Address - Fax:217-732-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL224Z00000X, 225100000X, 225200000X, 225X00000X, 2355S0801X, 235Z00000X, 347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid