Active NPI
Young Men's Christian Association of Northwestern Du Page County
- Health Educator
- Glen Ellyn, IL
National Provider Identifier
1184133985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHWESTERN DU PAGE COUNTY
- Practice address
- 49 Deicke Drive
Glen Ellyn, IL 60137 - Phone
- (630) 858-0100
- NPI assigned
- Sep 25, 2017
- Last updated
- Sep 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Lemke
- Title
- Ceo
- Phone
- (630) 547-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
49 Deicke Drive
Glen Ellyn, IL 60137
Mailing address
49 Deicke Drive
Glen Ellyn, IL 60137
Phone (630) 858-0100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506297600000",
"number": "1184133985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 DEICKE DRIVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-858-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 DEICKE DRIVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-858-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHWESTERN DU PAGE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-25",
"last_updated": "2017-09-25",
"status": "A",
"authorized_official_last_name": "LEMKE",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-547-2004"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.