COUNTY OF DUPAGE DEPARTMENT OF HEALTH (NPI# 1689830853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689830853 |
| Entity Type | Organization |
| Organization Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Other Organization Name | DUPAGE COUNTY HEALTH DEPARTMENT - MISA HUD |
| Practice Address |
6723 Alpine Ln. Apt. 1 Westmont IL 60559-3435 |
| Mailing Address |
111 N County Farm Rd Wheaton IL 60187-3977 |
| Practice Telephone | 6306827400 |
| Mailing Telephone | 6306827400 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2015-09-18 |
| 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 | 251K00000X | Public Health or Welfare | IL | Agencies | |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
IL | Ambulatory Health Care Facilities | |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities | |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE B | 329390B | 01 |
| IL | MEDICARE B RAILROAD | 60002664 | 01 |
| Other Name | Type Code |
|---|---|
| DuPage County Health Department - MISA HUD | 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 |
| 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 |
6723 ALPINE LN. APT. 1 |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
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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.