NPIMap

Organization Active NPI

County of Dupage Department of Health

Doing business as DuPage County Health Department - North Public Health Center (NPHC)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Addison, IL
National Provider Identifier
1093971442
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
Doing business as
DuPage County Health Department - North Public Health Center (NPHC)
Practice address
1111 W Lake St
Addison, IL 60101-1101
Phone
(630) 682-7400
NPI assigned
Aug 5, 2008
Last updated
May 31, 2023By the provider in NPPES
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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IL Primary

Addresses

Primary practice location

1111 W Lake St
Addison, IL 60101-1101

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
201614OtherILMEDICARE

Other names 1

  • DuPage County Health Department - North Public Health Center (NPHC) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518001117 IL Part B Supplier - Clinic/Group Practice 4981695103 Receives reassigned benefits from 64 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Addison, IL; Lombard, IL; West Chicago, IL; Westmont, IL; Wheaton, IL

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Dupage County Health Dept

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1093971442",
    "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": "1111 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011101",
            "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": "2008-08-05",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "201614",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage County Health Department - North Public Health Center (NPHC)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DuPage County Health Department - North Public Health Center (NPHC)",
            "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.