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COUNTY OF DUPAGE DEPARTMENT OF HEALTH NPI 1073779229


NPI Information

NPI: 1073779229
Provider Name: COUNTY OF DUPAGE DEPARTMENT OF HEALTH

Doing Business As: DUPAGE COUNTY HEALTH DEPARTMENT - ADDISON GROUP HOME (AGH)

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
875 S. ARDMORE AVE.
ADDISON, IL
ZIP 60101
Phone: (630) 682-7400
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COUNTY OF DUPAGE DEPARTMENT OF HEALTH is a mental health (including community mental health center) clinic center in Addison, IL. COUNTY OF DUPAGE DEPARTMENT OF HEALTH NPI is 1073779229. The provider is registered as an organization entity type.
The provider Is Doing Business As Dupage County Health Department - Addison Group Home (agh).

The provider's business location address is:

875 S. ARDMORE AVE.
ADDISON, IL
ZIP 60101-500
Phone: (630) 682-7400

The provider's authorized official is Karen J Ayala .
The authorized official title is Executive Director and has the following contact phone number (630) 682-7400.

The enumeration date for this NPI number is 8/6/2008 and was last updated on 8/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessILLINOISNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201614MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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