SINNISSIPPI CENTERS, INC. (NPI# 1235768607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235768607 |
| Entity Type | Organization |
| Organization Name | SINNISSIPPI CENTERS, INC. |
| Practice Address |
102 S Hennepin Ave Dixon IL 61021-3013 |
| Mailing Address |
325 Il Route 2 Dixon IL 61021-9118 |
| Practice Telephone | 8152846611 |
| Mailing Telephone | 8152846611 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | TERESA A GOOD (VP/CFO) |
| Authorized Official Telephone | 8152846611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407485261 | Sinnissippi Centers, Inc. | Clinic/Center | 200 W Hawley St, Amboy, IL 61310-1158 | 2020-04-03 |
| 1922114115 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 325 Il Route 2, Dixon, IL 61021-9118 | 2006-08-21 |
| 1801425277 | Sinnissippi Centers, Inc. | Clinic/Center | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2020-04-07 |
| 1952930711 | Sinnissippi Centers, Inc. | Clinic/Center | 200 W Hawley St, Amboy, IL 61310-1158 | 2020-04-03 |
| 1588171821 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 922 Washington Ave, Dixon, IL 61021-1254 | 2018-01-09 |
| 1679080915 | Sinnissippi Centers, Inc. | Voluntary or Charitable | 922 Washington Ave, Dixon, IL 61021-1254 | 2018-01-09 |
| 1457801748 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2016-10-11 |
| 1710436878 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 325 Il Route 2, Dixon, IL 61021-9118 | 2016-09-29 |
| 1851840920 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 1321 N 7th St, Rochelle, IL 61068-1185 | 2016-09-29 |
| 1871042937 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | 2016-09-29 |
| Street Address |
102 S HENNEPIN AVE |
| City | DIXON |
| State | IL |
| Zip Code | 61021-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780650176 | Juan C Hernandez | Emergency Medicine | 102 S Hennepin Ave, Dixon, IL 61021 | 2006-02-24 |
| 1023626751 | Kirk Anthony Stewart | Family Medicine | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2020-07-20 |
| 1396363727 | Kristina A Stevenson | Family Medicine | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2020-07-13 |
| 1801425277 | Sinnissippi Centers, Inc. | Clinic/Center | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2020-04-07 |
| 1609413632 | Gina Aikins | Dietitian, Registered | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2019-12-10 |
| 1417518531 | Tyler J Verbout | Counselor | 102 S Hennepin Ave, Dixon, IL 61021 | 2019-06-28 |
| 1356901482 | Justin Levon Du | Family Medicine | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2019-06-20 |
| 1184283590 | Jaclyn Pranita Parayao | Family Medicine | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2019-06-10 |
| 1427542067 | Michael Greer | Family Medicine | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2018-06-18 |
| 1942792726 | Paige Breanne Clayton | Family Medicine | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760615728 | Eminence Healthcare, Inc. | Clinic/Center | 305 E. C Street, Dixon, CA 95620-3000 | 2009-08-25 |
| 1508099565 | Eminence Healthcare, Inc. | Clinic/Center | 200 N. Lincoln Street, Dixon, CA 95620-3209 | 2009-08-25 |
| 1336371491 | Eminence Healthcare, Inc. | Clinic/Center | 555 College Way, Dixon, CA 95620-9301 | 2009-08-21 |
| 1992915698 | Lutheran Social Services of Illinois | Clinic/Center | 1247 N. Galena Avenue, Dixon, IL 61021-1000 | 2007-05-23 |
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|---|---|---|---|---|
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| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.