NPIMap

Organization Active NPI

Northern Illinois University Health Services

  • Student Health Clinic/Center
  • Dekalb, IL
National Provider Identifier
1275688160
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES
Practice address
518 Lucinda Ave
Health Services Building
Dekalb, IL 60115
Phone
(815) 753-1311
Fax
(815) 753-9570
NPI assigned
Jan 24, 2007
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Ms. Christine J. Grady, R.N., M.S.
Title
Director, Health Services
Phone
(815) 753-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

518 Lucinda Ave
Health Services Building
Dekalb, IL 60115

Mailing address

518 Lucinda Ave.
Health Services Building
Dekalb, IL 60115-2854
Phone (815) 753-1311

National Provider Directory

National Provider Directory
Tax ID family
Psychological Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1275688160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LUCINDA AVE.",
            "address_2": "HEALTH SERVICES BUILDING",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152854",
            "telephone_number": "815-753-1311",
            "fax_number": "815-753-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LUCINDA AVE",
            "address_2": "HEALTH SERVICES BUILDING",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "815-753-1311",
            "fax_number": "815-753-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "815-753-1311",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., M.S."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.