COUNTY OF DUPAGE DEPARTMENT OF HEALTH (NPI# 1841734514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841734514 |
| Entity Type | Organization |
| Organization Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Other Organization Name | DUPAGE COUNTY HEALTH DEPARTMENT - NORTH PUBLIC HEALTH CENTER |
| Practice Address |
1111 W Lake St Addison IL 60101-1101 |
| Mailing Address |
111 N County Farm Rd Wheaton IL 60187-3977 |
| Practice Telephone | 6306827400 |
| Mailing Telephone | 6306827400 |
| Enumeration Date | 2016-12-14 |
| 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 - North 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 |
1111 W LAKE ST |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477605913 | Grettel C. Donahue | Clinic/Center | 1111 W Lake St, Addison, IL 60101-1101 | 2007-01-17 |
| 1538768387 | Sara Prill | Counselor | 1111 W Lake St, Addison, IL 60101-1197 | 2020-10-22 |
| 1619599206 | Maricela Ibarra | Community Health Worker | 1111 W Lake St, Addison, IL 60101-1101 | 2020-05-18 |
| 1982237616 | Jennifer M Martinez | Counselor | 1111 W Lake St, Addison, IL 60101-1101 | 2020-02-21 |
| 1043842651 | Guadalupe Vianey Barajas | Registered Nurse | 1111 W Lake St, Addison, IL 60101-1101 | 2020-02-11 |
| 1184255648 | Eddy Santos | Community Health Worker | 1111 W Lake St, Addison, IL 60101-1197 | 2020-02-03 |
| 1972144491 | Kaithynn Sanchez-guzman | Registered Nurse | 1111 W Lake St, Addison, IL 60101-1101 | 2019-10-06 |
| 1063061521 | Alexia Vergara Barrientos | Case Manager/Care Coordinator | 1111 W Lake St, Addison, IL 60101-1101 | 2019-09-08 |
| 1144889015 | Cassandra Marie Quinn | Case Manager/Care Coordinator | 1111 W Lake St, Addison, IL 60101-1101 | 2019-06-13 |
| 1548828585 | County of Dupage Department of Health | Clinic/Center | 1111 W Lake St, Addison, IL 60101-1101 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1184810152 | Us Medgroup P.a. | Clinic/Center | 15812 Midway Road, Addison, TX 75001 | 2007-09-24 |
| 1861683252 | American Current Care of California | Clinic/Center | 5080 Spectrum Dr Ste 1200w, Addison, TX 75001-4624 | 2007-08-09 |
| 1932190667 | Addison Health Center | Clinic/Center | 30795 Highway 278, Addison, AL 35540-2201 | 2005-11-02 |
| 1871075309 | Occupational Health Centers of Washington Ps | Clinic/Center | 5080 Spectrum Dr Ste 1200w, Addison, TX 75001-4624 | 2018-08-31 |
| 1598247025 | Us Medgroup of Washington Ps | Clinic/Center | 5080 Spectrum Dr Ste 1200w, Addison, TX 75001-4624 | 2018-08-31 |
| 1053890798 | Us Medgroup of Minnesota PC | Clinic/Center | 5080 Spectrum Dr Ste 1200w, Addison, TX 75001-4624 | 2018-08-13 |
| 1417303025 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5080 Spectrum Dr, Ste 1200w, Addison, TX 75001-4648 | 2016-05-12 |
| 1437549573 | U.S. Medgroup P.a. | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2015-01-28 |
| 1477959500 | Us Medgroup of Kansas Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648 | 2014-11-18 |
| Find all providers in ADDISON | ||||
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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.