Organization Active NPI

Northwestern Illinois Assoication

  • Local Education Agency (LEA)
  • Sycamore, IL
National Provider Identifier
1669424529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NORTHWESTERN ILLINOIS ASSOICATION
Practice address
245 W Exchange St
Suite 2
Sycamore, IL 60178-1495
Phone
(815) 895-9227
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Ellen Kilpatrick
Title
Executive Director
Phone
(815) 895-9227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X IL Primary

Addresses

Primary practice location

245 W Exchange St
Suite 2
Sycamore, IL 60178-1495

Mailing address

245 W Exchange St
Suite 2
Sycamore, IL 60178

Other identifiers 1

IdentifierTypeStateIssuer
363072256001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Illinois Association4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2060 Aberdeen Ct
Ste B
Sycamore, IL 60178

245 W Exchange St
Ste 2
Sycamore, IL 60178
Phone (815) 895-9227

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669424529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "address_2": "SUITE 2",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "address_2": "SUITE 2",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495",
            "telephone_number": "815-895-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN ILLINOIS ASSOICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-895-9227"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363072256001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.