Organization Active NPI

Dekalb County Government

Doing business as DeKalb County Health Department

  • Public Health or Welfare Agency
  • Dekalb, IL
National Provider Identifier
1548315344
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEKALB COUNTY GOVERNMENT
Doing business as
DeKalb County Health Department
Practice address
2550 N Annie Glidden Rd
Dekalb, IL 60115-1297
Phone
(815) 758-6673
Fax
(815) 748-2485
NPI assigned
Jan 24, 2007
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Lisa Gonzalez
Title
Administrator
Phone
(815) 748-2429

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU

Addresses

Primary practice location

2550 N Annie Glidden Rd
Dekalb, IL 60115-1297

Mailing address

200 N. Main Street
Sycamore, IL 60178-1431
Phone (815) 758-6673

Other names 1

  • DeKalb County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120210000380 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3870640683 Practice locations: Dekalb, IL; Sycamore, IL
O20260108003025 IL Part B Supplier - Clinic/Group Practice 3870640683 Receives reassigned benefits from 1 practitioner
Practice locations: Dekalb, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0415289Dekalb County Health Department2550 N Annie Glidden Road, Dekalb, IL 60115Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dekalb County Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1145 Rushmoore Dr
DeKalb, IL 60115
Phone (815) 758-5765

2500 N Annie Glidden Rd
DeKalb, IL 60115
Phone (815) 787-8900

2550 N Annie Glidden Rd
#R
DeKalb, IL 60115

2600 N Annie Glidden Rd
DeKalb, IL 60115
Phone (815) 758-2477

340 Carroll Ave
DeKalb, IL 60115
Phone (815) 853-9191

200 N Main St
Sycamore, IL 60178
Phone (815) 895-1635

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dekalb County Rehab & Nursing CenterDekalb, IL, CCN 145547 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1548315344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N. MAIN STREET",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781431",
            "telephone_number": "815-758-6673",
            "fax_number": "815-748-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N ANNIE GLIDDEN RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151297",
            "telephone_number": "815-758-6673",
            "fax_number": "815-748-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-748-2429"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeKalb County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.