COUNTY OF DUPAGE DEPARTMENT OF HEALTH (NPI# 1437305877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437305877 |
| Entity Type | Organization |
| Organization Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Other Organization Name | DUPAGE COUNTY HEALTH DEPARTMENT - BLOOMINGDALE GROUP HOME (BGH) |
| Practice Address |
5n673 Santa Fe Trl Bloomingdale IL 60108-2413 |
| Mailing Address |
111 N County Farm Rd Wheaton IL 60187-3977 |
| Practice Telephone | 6306827400 |
| Mailing Telephone | 6306827400 |
| Enumeration Date | 2008-08-18 |
| 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 |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | IL | Residential Treatment Facilities | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DuPage County Health Department - Bloomingdale Group Home (BGH) | 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 |
| 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 |
| 1710143045 | County of Dupage Department of Health | Community Based Residential Treatment Facility, Mental Illness | 1709 E Roosevelt Rd, Wheaton, IL 60187-6843 | 2008-08-06 |
| Street Address |
5N673 SANTA FE TRL |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528461514 | Fithawit Berhe | Behavioral Analyst | 5n673 Santa Fe Trl, Bloomingdale, IL 60108-2413 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020663 | David Kushner Do PC | Clinic/Center | 290 Springfield Dr Ste 180, Bloomingdale, IL 60108-2240 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on COUNTY OF DUPAGE DEPARTMENT OF HEALTH.
| 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.