NPIMap

Organization Active NPI

Planned Parenthood of Illinois

  • Clinic/Center
  • Carbondale, IL
National Provider Identifier
1669236865
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLANNED PARENTHOOD OF ILLINOIS
Practice address
200 N Emerald LN
Carbondale, IL 62901-2159
Phone
(217) 359-8022
Fax
(217) 359-9625
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Khristina Scardina
Title
Manager
Phone
(312) 592-6819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

200 N Emerald LN
Carbondale, IL 62901-2159

Mailing address

17 N State St
Chicago, IL 60602-3315
Phone (312) 592-6800

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
14D2294505Planned Parenthood of Illinois - Carbondale200 N Emerald Lane, Carbondale, IL 62901Provider-performed microscopyMar 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Illinois20 organizations share this tax ID, including this one
Part of
Planned Parenthood of Illinois

Other organizations with this tax ID 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 3

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": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1669236865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023315",
            "telephone_number": "312-592-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N EMERALD LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012159",
            "telephone_number": "217-359-8022",
            "fax_number": "217-359-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF ILLINOIS",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "SCARDINA",
        "authorized_official_first_name": "KHRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-592-6819"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.