County of Winnebago

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

14D0430142 Issued in IL

Legal business name

COUNTY OF WINNEBAGO

Practice address

401 Division St
Rockford, IL 61104-2014

Phone

(815) 720-4000

Fax

(815) 720-4001

NPI assigned

Feb 26, 2009

Organization subpart

Yes

Parent organization

WINNEBAGO COUNTY HEALTH DEPARTMENTAs reported in NPPES

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

Authorized official

Name

Mr. J Maichle Bacon

Title

Administrator

Phone

(815) 720-4210

Specialties & licenses 1

Addresses

Part of

Winnebago County HLTH D

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1285874529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042014",
            "telephone_number": "815-720-4000",
            "fax_number": "815-720-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042014",
            "telephone_number": "815-720-4000",
            "fax_number": "815-720-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WINNEBAGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINNEBAGO COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MAICHLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-720-4210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "14D0430142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izamar Cortez
• Janette Louise Cosgrove, MSW, LCSW
• Dunja Cosic, DMD
• Vanja Cosic, DMD
• Stephen C Cotton, MD
• County of Winnebago
• County of Winnebago
• Fahrettin Covut, M.D.
• Huma Covut, DMD
• Taren R Cowan, APN

• Public Health or Welfare Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Public Health or Welfare Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.