Organization Active NPI

County Line Animal Hospita

  • Special Hospital
  • Naperville, IL
National Provider Identifier
1396083796
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
090-002976 Issued in IL
Legal business name
COUNTY LINE ANIMAL HOSPITA
Practice address
2200 S Washington St
Naperville, IL 60565-2495
Phone
(630) 983-5551
Fax
(630) 983-5674
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Dr. Richard Friend Kilburn, DVM
Title
President
Phone
(630) 983-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 090-002976 IL Primary

Addresses

Primary practice location

2200 S Washington St
Naperville, IL 60565-2495

Mailing address

2200 S Washington St
Naperville, IL 60565-2495
Phone (630) 983-5551

National Provider Directory

National Provider Directory

Locations

2200 S Washington St
Naperville, IL 60565
Phone (630) 983-5551

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1396083796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652495",
            "telephone_number": "630-983-5551",
            "fax_number": "630-983-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652495",
            "telephone_number": "630-983-5551",
            "fax_number": "630-983-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY LINE ANIMAL HOSPITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "KILBURN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRIEND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-983-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IL",
            "license": "090-002976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.