Organization Active NPI

Channahon Dui Services, LLC

  • Early Intervention Provider Agency
  • Channahon, IL
National Provider Identifier
1144513938
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CHANNAHON DUI SERVICES, LLC
Practice address
23157 Thomas Dillon Drive
Channahon, IL 60410
Phone
(815) 210-1630
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Miss Gabriela Orozco, CADC
Title
Director/Assessor
Phone
(815) 210-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

23157 Thomas Dillon Drive
Channahon, IL 60410

Mailing address

23157 Thomas Dillon Drive
Channahon, IL 60410

National Provider Directory

National Provider Directory

Locations

23157 S Thomas Dillon Dr
Channahon, IL 60410
Phone (815) 210-1630

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1144513938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23157 THOMAS DILLON DRIVE",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "60410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23157 THOMAS DILLON DRIVE",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "60410",
            "telephone_number": "815-210-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNAHON DUI SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "DIRECTOR/ASSESSOR",
        "authorized_official_telephone_number": "815-210-1630",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Channahon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.