Organization Active NPI

El Taller del Maestro

  • Early Intervention Provider Agency
  • West Chicago, IL
National Provider Identifier
1639493299
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EL TALLER DEL MAESTRO
Practice address
524 Carriage Dr
Apt. 1a
West Chicago, IL 60185-4095
Phone
(815) 209-9899
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. Francisco Canales
Title
Owner
Phone
(815) 209-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

524 Carriage Dr
Apt. 1a
West Chicago, IL 60185-4095

Mailing address

524 Carriage Dr
Apt. 1a
West Chicago, IL 60185-4095
Phone (815) 209-9899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1639493299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CARRIAGE DR",
            "address_2": "APT. 1A",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854095",
            "telephone_number": "815-209-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CARRIAGE DR",
            "address_2": "APT. 1A",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854095",
            "telephone_number": "815-209-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL TALLER DEL MAESTRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-209-9899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.