COUNTY OF DUPAGE DEPARTMENT OF HEALTH (NPI# 1174067797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174067797 |
| Entity Type | Organization |
| Organization Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Other Organization Name | DUPAGE COUNTY HEALTH DEPARTMENT - SOUTHEAST PUBLIC HEALTH CENTER |
| Practice Address |
422 N Cass Ave Westmont IL 60559-1502 |
| Mailing Address |
111 N County Farm Rd Wheaton IL 60187-3977 |
| Practice Telephone | 6306827400 |
| Mailing Telephone | 6306827400 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | KAREN J AYALA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6306827400 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | 201614 | 01 |
| Other Name | Type Code |
|---|---|
| DuPage County Health Department - Southeast Public Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969285 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 29w532 Country Ridge Dr., Warrenville, IL 60555-1912 | 2009-05-06 |
| 1437305877 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 5n673 Santa Fe Trl, Bloomingdale, IL 60108-2413 | 2008-08-18 |
| 1427204353 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 25w765 Prairie Ave., Wheaton, IL 60187-3939 | 2008-08-12 |
| 1790941987 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 142 Wood St., West Chicago, IL 60185-2805 | 2008-08-06 |
| 1669638847 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 1211 Taft Ave., Wheaton, IL 60189-6708 | 2008-08-06 |
| 1881850055 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 755 Lippert Ln, Apt. 1e, Glendale Heights, IL 60139-1401 | 2008-08-06 |
| 1780840967 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 761 Lippert Ln, Apartment 1e, Glendale Heights, IL 60139-1402 | 2008-08-06 |
| 1821254137 | County of Dupage Department of Health | Clinic/Center | 440 S Finley Rd, Lombard, IL 60148-2429 | 2008-08-06 |
| 1689830853 | County of Dupage Department of Health | Public Health or Welfare | 6723 Alpine Ln., Apt. 1, Westmont, IL 60559-3435 | 2008-08-06 |
| 1356507537 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 408 Braemar Ave., Naperville, IL 60563-1301 | 2008-08-06 |
| Street Address |
422 N CASS AVE |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578627097 | Malini Patel | Psychiatry & Neurology | 422 N Cass Ave, Westmont, IL 60559-1502 | 2006-12-20 |
| 1083215925 | Ashley Damian | Registered Nurse | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-11-06 |
| 1487253894 | Cheyenne Leigh Grace | Social Worker | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-10-19 |
| 1306451034 | Miranda Erin Hebbard | Case Manager/Care Coordinator | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-09-10 |
| 1609480052 | Danielle Allen | Registered Nurse | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-09-02 |
| 1730799396 | Hayley Bingen | Dietitian, Registered | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-08-07 |
| 1629600580 | Yaritza Guzman | Social Worker | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-02-09 |
| 1831721729 | Jessica Elizabeth Piry | Counselor | 422 N Cass Ave, Westmont, IL 60559-1502 | 2020-02-07 |
| 1558929588 | County of Dupage Department of Health | Clinic/Center | 422 N Cass Ave, Westmont, IL 60559-1502 | 2019-06-04 |
| 1033573092 | The Thresholds | Clinic/Center | 422 N Cass Ave, Room 105, Westmont, IL 60559-1502 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1841899788 | Neuro Drive Pt, Pllc | Clinic/Center | 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 | 2020-10-21 |
| 1952929119 | Gray Healthcare Consulting Pllc | Clinic/Center | 57 Northgate Rd, Riverside, IL 60546-1638 | 2020-07-13 |
| 1225664683 | Men's Clinic, Pllc | Clinic/Center | 2700 S River Rd Ste 309, Des Plaines, IL 60018-4101 | 2020-03-18 |
| 1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
| 1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.