NORTHERN ILLINOIS MEDICAL CENTER (NPI# 1962036921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962036921 |
| Entity Type | Organization |
| Organization Name | NORTHERN ILLINOIS MEDICAL CENTER |
| Practice Address |
3701 Doty Rd Woodstock IL 60098-7509 |
| Practice Telephone | 8153382910 |
| Practice Fax Number | 8153382912 |
| Mailing Telephone | 8153382910 |
| Mailing Fax Number | 8153382912 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | THOMAS JOSEPH MCAFEE (CEO) |
| Authorized Official Telephone | 8475956101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MCHENRY COUNTY CRISIS PROGRAM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770867954 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 1118 North Main Street, Algonquin, IL 60102-3482 | 2011-10-05 |
| 1780989905 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 213 Front St., Mchenry, IL 60050-5501 | 2011-01-19 |
| 1447298450 | Northern Illinois Medical Center | Home Health | 213 Front St, Suite 2, Mchenry, IL 60050-5501 | 2006-06-02 |
| 1023497823 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 1118 N Main St, Algonquin, IL 60102-3482 | 2015-05-26 |
| 1497764526 | Northern Illinois Medical Center | Rehabilitation Unit | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2006-08-07 |
| 1982611281 | Northern Illinois Medical Center | Psychiatric Unit | 4201 W Medical Center Dr, Mchenry, IL 60050 | 2006-08-01 |
| Street Address |
3701 DOTY RD |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794681 | Thomas Peeters | Emergency Medicine | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-07-14 |
| 1568024982 | Kyle Joseph Saunders | Counselor | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2019-07-05 |
| 1962990309 | Ravi Khapekar | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2018-05-01 |
| 1982137337 | Maria Prusha | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2017-04-04 |
| 1699220525 | Grazyna Kostecki | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-08-21 |
| 1164871836 | Megan Garcia | Behavioral Analyst | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-06-03 |
| 1164876967 | Nicholas K Ventocilla | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-04-18 |
| 1225498660 | Kimberly Anne Saathoff | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-02-27 |
| 1124486790 | Angela K Astleford | Nurse Practitioner | 3701 Doty Rd, Woodstock, IL 60098 | 2016-02-10 |
| 1710350624 | Nancy Hulett Johnson | Counselor | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2015-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| 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 |
|---|---|---|---|---|
| 1093338246 | Association for Individual Development | Clinic/Center | 1201 Dean St Lowr Level, Woodstock, IL 60098-3803 | 2020-05-22 |
| 1366906778 | Center for Authentic Life & Relationship, LLC | Clinic/Center | 1426 Olde Forge Ln, Woodstock, GA 30189-1553 | 2019-01-30 |
| 1508341413 | Resiliency Therapy Services | Clinic/Center | 213 Highland Park Pt, Woodstock, GA 30188-4897 | 2018-09-26 |
| 1952858557 | Tranquility Counseling Services | Clinic/Center | 8744 Main Street, 303, Woodstock, GA 30188 | 2016-09-01 |
| 1083861975 | The Thresholds | Clinic/Center | 3909 Raycraft Rd, Woodstock, IL 60098-8307 | 2008-08-21 |
| 1285278432 | Pioneer Center for Human Services | Clinic/Center | 13707 W Jackson St, Woodstock, IL 60098-3188 | 2019-10-31 |
| 1912551490 | Next Level Counseling and Wellness LLC | Clinic/Center | 226 W Judd St, Woodstock, IL 60098-3158 | 2019-08-01 |
| 1295215606 | Flow of Wellness LLC | Clinic/Center | 205 River Park North Dr, Woodstock, GA 30188-7835 | 2018-08-15 |
| 1952890105 | Rose Kihara Nurse Practitioner LLC | Clinic/Center | 39 Route 171, Woodstock, CT 06281 | 2018-05-03 |
| 1508387978 | Association for Individual Development | Clinic/Center | 109 S Jefferson St, Woodstock, IL 60098-3465 | 2017-07-06 |
| Find all providers in WOODSTOCK | ||||
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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.