NPIMap

Organization Active NPI

Cook County Adult Probation

  • Community/Behavioral Health Agency
  • Markham, IL
National Provider Identifier
1396028064
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COOK COUNTY ADULT PROBATION
Practice address
16501 Kedzie Pkwy
Markham, IL 60428-5509
Phone
(773) 674-3282
Fax
(773) 674-4913
NPI assigned
Sep 20, 2011
Organization subpart
Yes
Parent organization
COOK COUNTY ADULT PROBATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Mr. Reginald Stone
Title
Deputy Chief Probation Officer
Phone
(773) 674-2871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

16501 Kedzie Pkwy
Markham, IL 60428-5509

Mailing address

69 W Washington St
Suite 1940
Chicago, IL 60602-3134
Phone (312) 603-0258

Other identifiers 1

IdentifierTypeStateIssuer
04038MedicaidIL

Other names 1

  • Mental Health Unit-Markham Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Triage Center67 organizations share this tax ID, including this one
Part of
Community Triage Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1396028064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 W WASHINGTON ST",
            "address_2": "SUITE 1940",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023134",
            "telephone_number": "312-603-0258",
            "fax_number": "312-603-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 KEDZIE PKWY",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285509",
            "telephone_number": "773-674-3282",
            "fax_number": "773-674-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY ADULT PROBATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK COUNTY ADULT PROBATION",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "DEPUTY CHIEF PROBATION OFFICER",
        "authorized_official_telephone_number": "773-674-2871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04038",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Unit-Markham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Markham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.