OrganizationActive
Summit Sch Dist 104
NPI 1528183589 · Student Health Clinic/Center · Summit, IL
Summit Sch Dist 104 is a Student Health Clinic/Center organization in Summit, IL (NPI 1528183589).
Provider details
- NPI number
- 1528183589
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Derrig, Director(708) 458-0505
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60th Street & 74th Ave
Summit, IL 60501
Phone: (708) 458-0505
Fax: (708) 728-3111
Street-level locationGet directions
Mailing address
60th Street & 74th Ave
Summit, IL 60501
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Summit Sch Dist 104's NPI number?
- Summit Sch Dist 104's National Provider Identifier (NPI) is 1528183589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Sch Dist 104?
- Summit Sch Dist 104 is classified in the NPPES registry as Student Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Summit Sch Dist 104 located?
- Summit Sch Dist 104's practice location on file with NPPES is 60th Street & 74th Ave, Summit, IL 60501.
- What is Summit Sch Dist 104's phone number?
- The practice phone number listed in the NPPES registry for Summit Sch Dist 104 is (708) 458-0505.
- Who is the authorized official for Summit Sch Dist 104?
- The authorized official listed on Summit Sch Dist 104's NPPES record is Patricia Derrig, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Sch Dist 104's NPI active?
- Yes — Summit Sch Dist 104's NPI (1528183589) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.