NPIMap

Organization Active NPI

County of Dupage Department of Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Addison, IL
National Provider Identifier
1073779229
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF DUPAGE DEPARTMENT OF HEALTH
Practice address
875 S. Ardmore Ave.
Addison, IL 60101-6500
Phone
(630) 682-7400
NPI assigned
Aug 6, 2008
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IL Primary
Mental Illness Community Based Residential Treatment Facility 320800000X IL

Addresses

Primary practice location

875 S. Ardmore Ave.
Addison, IL 60101-6500

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400

Other names 1

  • DuPage County Health Department - Addison Group Home (AGH) 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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1073779229",
    "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",
            "telephone_number": "630-682-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S. ARDMORE AVE.",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601016500",
            "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": "2008-08-06",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage County Health Department - Addison Group Home (AGH)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DuPage County Health Department - Addison Group Home (AGH)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, 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.