NPIMap

Organization Active NPI

County of Dupage Department of Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale Heights, IL
National Provider Identifier
1295969285
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF DUPAGE DEPARTMENT OF HEALTH
Practice address
743 Lippert LN Apt 1E
Glendale Heights, IL 60139-1406
Phone
(630) 682-7400
NPI assigned
May 6, 2009
Organization subpart
Yes
Parent organization
COUNTY OF DUPAGE DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Adam Forker
Title
Executive Director
Phone
(630) 682-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IL Primary
Mental Illness Community Based Residential Treatment Facility 320800000X IL

Addresses

Primary practice location

743 Lippert LN Apt 1E
Glendale Heights, IL 60139-1406

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400

Other names 1

  • DuPage County Health Department - CAP I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cnty of Dupage Dept of HLTH26 organizations share this tax ID, including this one
Part of
Cnty of Dupage Dept of HLTH

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1295969285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977",
            "telephone_number": "630-682-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 LIPPERT LN APT 1E",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391406",
            "telephone_number": "630-682-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DUPAGE DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DUPAGE DEPARTMENT OF HEALTH",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "FORKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-682-7400"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage County Health Department - CAP I",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DuPage County Health Department - CAP I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.