NPIMap

Organization Active NPI

County of Dupage Department of Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lombard, IL
National Provider Identifier
1003474032
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNTY OF DUPAGE DEPARTMENT OF HEALTH
Practice address
1111 E Jackson St
Lombard, IL 60148-3709
Phone
(630) 682-7400
NPI assigned
Jun 4, 2019
Organization subpart
Yes
Parent organization
COUNTY OF DUPAGE DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adam Forker
Title
Executive Director
Phone
(630) 682-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1111 E Jackson St
Lombard, IL 60148-3709

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

Other names 1

  • DuPage County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cnty of Dupage Dept of HLTH26 organizations share this tax ID, including this one
Part of
Cnty of Dupage Dept of HLTH

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

1111 E Jackson St
Lombard, IL 60148
Phone (630) 221-5392

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1003474032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E JACKSON ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483709",
            "telephone_number": "630-682-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DUPAGE DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DUPAGE DEPARTMENT OF HEALTH",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "FORKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-682-7400"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DuPage County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.