South Side Office of Concern

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH SIDE OFFICE OF CONCERN

Practice address

202 NE Madison Ave
Peoria, IL 61602-1285

Phone

(309) 674-7310

Fax

(309) 674-9652

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Christine Kahl

Title

President /Ceo

Phone

(309) 222-2560

Specialties & licenses 1

Addresses

Tax ID family

South Side Office of Concern2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• South Side Office of Concern

  • Case Management Agency
  • Peoria, IL
  • NPI 1174724280
  NPD tax ID

Locations

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1528482148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NE MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021285",
            "telephone_number": "309-674-7310",
            "fax_number": "309-674-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NE MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021285",
            "telephone_number": "309-674-7310",
            "fax_number": "309-674-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIDE OFFICE OF CONCERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "KAHL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "309-222-2560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johan W Sosa de la Cruz, MD
• Joseph A Sottile, M.D.
• Mohammad G Soud, M.D.
• Sounds Good
• South Side Office of Concern
• Abdul Rehman Sozzer, D.O.
• Franklin M Spalding, DDS
• Stacey Ann Spalding
• Erica Spangler, APN
• Lindsey Spangler, APN

• Community/Behavioral Health Agency in Peoria, IL
• Providers in Peoria, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.