Active NPI
S P I R I T Center NFP
- Community Health Worker
- Woodstock, IL
National Provider Identifier
1548073208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- S P I R I T CENTER NFP
- Practice address
- 12618 Davis Rd
Woodstock, IL 60098-9253 - Phone
- (815) 861-5448
- NPI assigned
- Jan 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Serena Franckowiak
- Title
- Director
- Phone
- (815) 861-5448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
12618 Davis Rd
Woodstock, IL 60098-9253
Mailing address
12618 Davis Rd
Woodstock, IL 60098-9253
Phone (815) 861-5448
Other names 1
- SPIRIT Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Woodstock, IL
- NPI 1902619166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1548073208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12618 DAVIS RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989253",
"telephone_number": "815-861-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12618 DAVIS RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989253",
"telephone_number": "815-861-5448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S P I R I T CENTER NFP",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "FRANCKOWIAK",
"authorized_official_first_name": "SERENA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "815-861-5448"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPIRIT Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "SPIRIT Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.