NPIMap

Organization Active NPI

Hanover Township

  • Community Health Clinic/Center
  • Bartlett, IL
National Provider Identifier
1104990993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
HANOVER TOWNSHIP
Practice address
240 S Route 59
Bartlett, IL 60103-1648
Phone
(630) 483-5665
Fax
(630) 483-5662
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brain Patrick McGuire, CLERK
Title
Clerk
Phone
(630) 837-0301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

240 S Route 59
Bartlett, IL 60103-1648

Mailing address

250 S Route 59
Bartlett, IL 60103-1648
Phone (630) 837-0301

Other names 1

  • Community Health Nursing Program Other name

National Provider Directory

National Provider Directory

Locations

240 S Il Route 59
Bartlett, IL 60103
Phone (630) 483-5665

Practitioners & affiliated clinicians

Practitioners 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104990993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031648",
            "telephone_number": "630-837-0301",
            "fax_number": "630-837-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031648",
            "telephone_number": "630-483-5665",
            "fax_number": "630-483-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "630-837-0301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CLERK"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Nursing Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.