Active NPI
Cook County Adult Probation
- Community/Behavioral Health Agency
- Skokie, IL
National Provider Identifier
1447533195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COOK COUNTY ADULT PROBATION
- Practice address
- 5600 Old Orchard Rd
Room 249
Skokie, IL 60077-1051 - Phone
- (773) 674-3282
- Fax
- (773) 674-4913
- NPI assigned
- Sep 20, 2011
- Organization subpart
- Yes
- Parent organization
- COOK COUNTY ADULT PROBATION
NPPES NPI Registry
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 Probaiton Officer
- Phone
- (773) 674-2871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5600 Old Orchard Rd
Room 249
Skokie, IL 60077-1051
Mailing address
69 W Washington St
Suite 1940
Chicago, IL 60602-3134
Phone (312) 603-0258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04038 | Medicaid | IL |
Other names 1
- Mental Health Unit-Skokie Office
National Provider Directory
National Provider Directory- Part of
- Cook County Adult Probation
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": "1447533195",
"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": "5600 OLD ORCHARD RD",
"address_2": "ROOM 249",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771051",
"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 PROBAITON 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-Skokie Office",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Skokie, 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.